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� � ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Z��3 o sPAr�s A� . <br /> PID: <br /> DESCRIPTION OF WORK: A�p��-n o�► IZ.t`�d�` ,, <br /> ZO�TPi tG $EVIEW BY: DATE APPROVED: 2 - 26•�3 <br /> BUII.DING REVIEW BY: DATE APPROVED; 2-z b.d� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓' No <br /> PLA��i REVIEW Yes _,� No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECfION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: ��-�� . <br /> Fire Department: Post Office: School Districr. � <br /> LotArea: Sq.ft. 5�.`1'12 Acres I.�b � Width �R.�t.�tu�.n+C Depth <br /> Survey Submitted: Yes No Date of Survey: c� �',��t <br /> Proposed Setbacks: � <br /> Front(I�: s�I Right Side: SS8 <br /> Rear(�eet): 22z..to Left Side: 2�•�. <br /> Adjacent Structures: N//1- Wetland: — <br /> Building Height: Def. Hgt. r�•K Peal:Hgt. — <br /> Lot Coverage: �� L <br /> Grading: Staff Approval Date: nro�e By; — Council Approval Date: — <br /> Septic: Staff Approval Date: �//A By: <br /> Zoning File: # 0 3-ZS�'1 Z Resolution: # Resolution Date: 2-Z`I-�3 <br /> Shoreland District: i <br /> Avg. Setback: Bluff Setback: Lot Coverage: � <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' Ivv c��.ar�j� <br /> 500-1000' � � f <br /> Hudcover Variance Required: Yes No c Date of Council Approval: <br /> REMAR��S(in house): _ <br /> 7 <br />