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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 9 Zo S o r��[��i' �,�v� <br /> PID: <br /> DESCRIPTION OF WORK: Nc�W 2cr S � <br /> --------------------------- ----'-n--------------------------------------------------------------------- <br /> ZONING REVIEW BY: zP Ul��.�— DATE APPROVED: (-�9-g L <br /> BUILDING REVIEW BY: DATE APPROVED: 6-��i -°I�r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNEC'TION <br /> STATE SUR`HARGE Yes c/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No v' PARK FEE <br /> SAC Y�s No ,/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------__------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zoning District: �R '/� <br /> Fire Department: ���{-t� Post O�ce: CA�tGe" School District: O�N a <br /> J e <br /> Lot Area: Sq.ft. $9,(�_O_c� �`l'Acres Z .O3S Width s�/O �� Depth 2��• � <br />` Survey Submitted: Yes aL No Date of Survey: 6'I�-q(. <br /> Proposed Setbacks: <br /> Front (�ake): b2 •S � Right Side: ,39, 2� 'a' � <br /> Rear(Skeet): �!e$ � `� Left Side: �77 ��� <br /> Adjacent Structures: �! //} Wetland: /QV� '�` <br /> Building Height: Def. Hgt. 3C�� Peak Hgt. �L� <br /> Lot Coverage: It�//�- <br /> Grading: Staff Approval Date: (�•��1- g�v By:p�.-C� e Council Approval Date: s—' <br /> Septic: Staff Approval Date: (p ��'`�� By: ��J <br /> Zoning File: # —� Resolution: # �-- Resolution Date: <br /> Shoreland Dist:ict: /UJ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> n . 75-250' <br /> r� �So-5�� <br /> 500-1000� <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> � 26 <br />