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. • ✓ CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 30►c� s o n��2 s t�" Un N � <br /> PID: <br /> DESCRIPTION OF WORK: �t,� �� <br /> ----------------------------- <br /> ZONING REVIEW BY• DATE APPROVED: t 1 -Z(-g S� <br /> BUII.DING REVIEW BY: DATE APPROVED: 1�- Z l-�i S <br /> ----------------------------- <br /> FEES TO BE CHARGED• 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 INSPECITON <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- - <br /> ZONING CHECI4, LIST Zoning District: /Z�"1� Shoreland District : nt O <br /> Fire Department: t.ONA CA�� Post Office: �ivS� School District: o/L��v� <br /> Lot Area: Sq.ft. 1 Su,Z$?Acres �.Y 5� Width 1 RfZe�✓u�'2 Depth --- <br /> Survey Submitted: Yes � No Date of Survey: ��'Z�' 9 5 <br /> Proposed Setbacks: ��s`'�� <br /> Front (£�'�: �/����•� Right Side: �''t'"�� �2•9 <br /> Rear (S�reat): 2�� ZSO Left Side: �r�'` $£�3.`1 <br /> Adjacent Structures: N��' Wetland: ,,$'� L�•3L 't�(�- �` <br /> � Peak H t 3�` <br /> Building Height: Def. Hgt. 3t� g ' <br /> Avg. Setback: Biuff Setback: Lot Coverage: <br /> Existing Proposed <br /> +'(� Hardcover: 0-75' <br /> 1`�1 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No — Date of Council Approval: � <br /> Grading: Staff Approval Date: //- 2/- 9S BY� 6•d• Cauncil Approval Date: " <br /> Septic: Staff Approval Date: ��-�3' g> BY: S '�'`' ' <br /> Zoning File: # — Resolution: # --- Resolution Date: � <br /> REMARKS (in house): <br /> 26 <br />