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� � <br /> � � ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 S� S�X-r�t ,�1v t-. N o <br /> PID: <br /> DESCRIPTION OF WORK: /Ve o•_r �2cS <br /> ----- --- - ---- ---- --------------------------------------------------------- <br /> ZO�IG REVIE`V BY: � --- DAZ'E APPROVED: 5 �L� � o-/ <br /> BUII�DI�1G REVLE`V BY: AATE APPROVED; q-L r-�y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERiv1IT Yes ✓ No <br /> PLA��I REVIEW Yes _�/ No SEWFR CO�]NECTION <br /> STATE SURCHARGE Yes __� No WATERCONNEC'I'ION <br /> INVESTIGATION FEE � Yes No � PARK FEE <br /> SAC Yes No �— SITEINSPECTTON <br /> Number of SAC�Units �,-,� Art,e� OTHER (specify) <br /> ZOYI�IG CH�CK LIST Zoaing District: (�.�Z.-1 b <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. i L 3 V� Acres 3.� 5 Widch Depth <br /> Survey Submitted: Yes�_ No Date of Survey: N'�`�-� <br /> Progosed Setbacks: ,� <br /> Front(I��): � l �g•" Righc Side: 2zs� <br /> Rear (S�eet): bZ•`S Left Side: ( 6�•`'� <br /> Adjacen[Structures: /ll �1� ��: C�� �03 �= <br /> Building Hei�ht: Def. Hgt. Zo Peak Hgt. Z$'� S' <br /> Loc Coveraoe: /� 1� <br /> TO� �.p. _ <br /> Gradino: Staff Approval Date: �f-Z3-by By: �c (� Council Approval Date: <br /> Septic: S[aff Ap roval Date: 7 • � o-° 3 By: M� <br /> �/U✓��� �� /3 En.�.� <br /> Zoning File: # oy-3 03 y Resolution: /# Resolutioa Date: �"73 '�`t <br /> Shoreland District: N � <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> EzistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Q00' <br /> Hazdcover Variance Required: Yes No Da[e of Council Approval: <br /> REl�'IARKS (in house): <br /> 7 <br />