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'� - •�, <br /> CHECK OFF LIST FOR ISSUANCE OF PERlVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �$�2 d C.o 2eI � P�� <br /> DESCRIP"TIOti OF �VORK: nl c w l�S <br /> ------------------------------------- ------------------------------------------------- <br /> ZONI�i tG REVIE�V BY: DATE APPROVED: Co- <3-9 5 <br /> BLTLDING REVIEW BY: DATE APPROVED: � -f 3-�.f <br /> ---------------------------------- <br /> FEES TO BE CH.�RGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes -� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: ��' ►Q Shoreland District : <br /> Fire Departmenr. L C.- Post Office: L c.. School District: [�fLt�nst� <br /> i <br /> Lot Area: Sq.ft. ����o�10.T� Acres 2- 3Z Width l�W � Depth S 3 2 A�� <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front (L,a�): '2�o� � Right Side: �c� •S �- <br /> Rear (St�eet): /70 Left Side: ( O$ W <br /> Adjacent Structures: �ll`} Wetland: ( 6 O <br /> Buildin� Height: Def. Hgt. Z�J Peak Hgt. Z S <br /> Avg. Setback: /V /�} Biuff Setback: N/� Lot Coverage: ��i�' <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' N /� <br /> 250-�00' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No '� Date of Council Approval: <br /> Grading: Staff Approval Date: �o '1 Y "5 5 By��� .Council Approval Date: A��Ie- <br /> Septic: Staff Approval Date: � BY� <br /> �-- <br /> Zoning File: # Resolution: # �— Resolution Date: <br /> REMARKS (in hOuse): <br /> 26 '� <br />