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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��' -�' � � �� � - /�_ ,� <br /> PID: _ _ � -. -„ <br /> DESCRIP'TION OF WORK: � �._ . . , ' �;_�: , ; ��,',~_ ;�%,� � � <br /> ---------------------------------------------------------------------------------------=-------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: (;•2�- g� <br /> BUILDING REVIEW BY: DATE APPROVED: 6 •u-9(� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/� No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SUR`HARG� Yes c� No WATERCONNECTION <br /> INVESTIGAT'ION-FEE Yes No �/ PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (Z,�-1� <br /> Fire Department: (�p � = Post Office: (.,onx.�CA�c..�" School District: Q(L�N o <br /> L <br /> Lot Area: Sq.ft. I�(2, Acres 3, Z � Width 3 7�o Depth g 8� A�E <br /> Survey Submitted: Yes �G No Date of Survey: �-(-2�-9l� <br /> Proposed Setbacks: <br /> Front (�e): 3U6� �= Right Side: ( 6`1` � t <br /> Rear (S�ee�): Sy� � Left Side: t y rj� 1 � <br /> Adjacent Structures: (1��Pr Wetland: N �h <br /> Building Height: Def. Hgt. ZZ ' Peak Hgt. 33� <br /> Lot Coverage: /V ��- <br /> Grading: Staff Approval Date: (, -2 f- y lo By� � Council Approval Date: — <br /> Septic: Staff Approval Date: By: <br /> Zoning Fi # solution: !t Resolut� n ate: <br /> Shorelan Dis -ict: NV <br /> vg. tback: Bluff S tback: Lot Coverage: <br /> Exist' g Proposed <br /> ardcove • 0-75' <br /> 75-250' <br /> 250-500 --�--__� <br /> 500-1 <br /> ardcover Varian e Re ired: Ye No Date of C cil Approval: <br /> REM S (in house): <br /> . 26 <br />