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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> AUDRESS OR LEGAL: �r�(�g �H o2c��N� .(�R�v� . <br /> PID• <br /> DESCRIPTION OF WORK: ��QA�-n o� _ (?�,�o,r�L, <br /> ZO�TIl�TG REViEW BY: � DATE APPROVED: 3-3 0-oy <br /> BUII..DING REVIEW BY: DATE APPROVED; _ S• 3 0 •oY <br /> FEFS TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes _,G No SEWER COTfNEC"TION <br /> STATE SURCHARGE Yes r/ No WATERCOrfNECTION <br /> INVFSTIGATION FEE � Yes No �' PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: B-\ <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft.K'p.��2 Acres � 1.1b3 Width Depth <br /> Survey Submitted: Yes� No Date of Survcy: 1 -2�-o�-1 <br /> Proposed Setbacks: � <br /> Front(I�e3: y3' t Right Side: C�5' <br /> Rear(Screet): Sl.Z Left Side: � 22� f <br /> Adjacent Structures: �(i{� Wetland: — <br /> Building Height: Def. Hgt. I 5•S Peal:Hgt. �-�.•5 <br /> Lot Coverage: o•� <br /> Grading: Staff Approval Date: 3•g •o y By:�,�°r2'� Council Approval Date: :z. 8-o� <br /> Septic: Staff Approval Date: N� p� By: <br /> Zoning File: � 0'�-2q 2 Resolution: # 51 Z Resolution Date: 3-$-oy <br /> Shoreland District: v e S <br /> Avg. Setback: /v I R Bluff Setback: �J 1/-f Loc Coverage: q///� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 7 z..�� 11.3 <br /> Hardcover Variaace Required: Yes_� No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />