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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 y 43`� �5,�0lz(,:C.�NL LYL <br /> 'PID: <br /> DESCRIPTION OF WORK: N E�1 /�.-CS <br /> ZOti7�ti G RE'VIEW BY: ------ DAT'E APPROVED: �- f! -O Y <br /> BUII�D�G REVII�`V BY: DATE APPROVED; r - �-�Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNiIT Yes � No ���a <br /> pLAN REVIEW Yes _�/ No SEWER CONNECTION � <br /> STATE SURCHARGE Yes t/ No tiVATER CONNECTION � � <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON � <br /> Number of SAC�Units OTHER (specify) � � <br /> -- ___------____ ___------------------------------------------------------ J� �cJ� <br /> ZONING CHECK LIST Zoning District: �2-/R - � � <br /> Fire Department: Post Office: School District: � J <br /> � <br /> \. <br /> Lot Area: Sq.ft. Acres . � 1 Width i 32 Depth <br /> Survey Submitted: Yes x No Date of Survey: 3 • �3 <br /> Proposed Setbacks: <br /> F��{�e�: ?5' Right Side: 3 C7 <br /> Rear(Street): �� Left Side: 3 a <br /> Adjacent Structures: N/v4 �Vetland: N�� <br /> Building Hei�ht: Def. Hgt. Zg-S Peal:Hgt. � <br /> Lot Coverage: <br /> Grading: Staff Approval Date: I - � ' ��'( By:p�d• Council Approval Date: <br /> Septic: Staff Approval Date: N(/� By: <br /> Zoning File: # 0�-��53 Resolution: # Sd 3t Resolution Date: �/� Zy- °j <br /> Shoreland District: xP5 <br /> Avg. Setback: b.ic Bluff Setback: N l� I.ot Coverage: <br /> EzistinQ Proposed <br /> a <br /> Hazdcover: 0-75' �� v <br /> 75-250' 43.` 35.7 oK 7,s� � y� .�t <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes�t_ No Date of Council Approval: 11•2 Y- 0 3 <br /> REv1ARKS (in house): <br /> 7 <br />