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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> - `ADDRESS OR LEGAL: S 5 P2�r� I-1S11 PID� <br /> DESCRIPTION OF WORK• 14��J 1 ��J — �"-F `'•'�• n`0��= <br /> ZONING REVIEW BY: DATE APPROVED: Y-i9 -�}s' <br /> BUII..DING REVIE`V BY: DATE APPROVED: �-i y-S� <br /> --------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓- No <br /> PLAN REVIEW Yes �' No SEWER COIVYECTION <br /> STATE SURCHARGE Yes �' No WATER CONivEC'ITON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No _� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -----------------------------_----_j------ <br /> ZONING CHECK LIST Zonin District• 12.(Z- � � Shoreland District: •-- <br /> Fire Departmenr. L �- Post Office: Cl.� School District: CnI�x7�,'t14� <br /> Lot Area: Sq.ft. /?/O GF�4��� Acres " Width ,;(U's� ��� Depth `� <br /> Survey Submitted: Yes �C No Date of Survey: c�r �=>�-C: <br /> Proposed Setbacks: � 1 � � <br /> Front (�}: �3 Right Side: �� (�=.� <br /> Rear (Streec): `6 g � Left Side: 2 0 0 � "�' � <br /> Adjacent Structures: /4��1'�-� Wetland: /� �� <br /> � Buiiding Height: Def. Hgt. (7 Peak Hgt. 7 S <br /> Avg. Setback: N <br /> �/�" Bluff Setback: N�� Lot Coverage: N//4` <br /> Existin Proposed <br /> Hardcover: 0-75' <br /> 75-2 0' <br /> 250 50 ' <br /> 50 -10 ' <br /> Hardcover Varian e Req ired: Ye o Date o Council Approval: <br /> Grading: Staff pproval ate: B Council Approval Date: <br /> Septic: Staff proval Da e: BY� <br /> Zoning File: # Reso ti : # R olution Date: <br /> REMAR��S (in house). <br /> 26 <br />