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Y <br /> � � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 g7� SNc,�L„vL, �(Z <br /> PID: <br /> DESCRIPTION OF WORK: �'?�vv� ,��eL. — S"iv-�yt�� p ti.c� <br /> ---------------:-------------------- <br /> ZONING REVIEW BY: f l� DATE APPROVED• <br /> BUILDING REVIEW BY: DATE APPROVED: 8 • 2 3-7� <br /> ----------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No c/ SEWER CONNECTION <br /> STATE SUR�HARG� Yes c/ No WATERCONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: c ool District: <br /> , <br /> Lot Area: S . . Acres Width Depth <br /> Survey Sub 'tte : Yes No Date Surve : <br /> Proposed Set ac • <br /> Fro (L ):_ Right S de: <br /> Rear(Street : Left Si e: <br /> Adja ent Stru tures: Wetland: <br /> Building Hei t: Def. gt. Peak H . <br /> Lot Coverage: <br /> Grading: Staf Approval te: By• Council Appr val Date: <br /> Septic: Staff pproval Date. B : <br /> Zoning File: Reso ution: # Resolution Date: <br /> Shoreland Dist ict: <br /> Avg. etback: Blu Setbac : Lot Covera : <br /> Exi ing Proposed <br /> Hazdc ver: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazd ver Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> � 26 <br />