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, � <br /> , � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y O 5�'u n�(�S �3fl� I�� <br /> PID• <br /> DESCRIPTION OF WORB: �A-?A to� rA�J� � � a� <br /> ZO�G REVIEW BY: DATE APPROVED: .3- • �( —v� <br /> BUILDING REVIEW BY: DATE APPROVED; .�- �{--ou <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes c/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes / No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CH�CK LIST zoning District: 2 R.-1� <br /> Fire Department: " Post Office: 1 School District: D2c�.�v v <br /> Lot Area: Sq.ft. No c H.tiv6 z Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: DN /'�� <br /> Proposed Setbacks: <br /> Front(be�e): l t13� �' Right Side: 17 C7 <br /> Reaz(St�eet3: I t3O�'�' Left Side: c! 7 � <br /> Adjacent Structures: ATT�,H�h Wetland: N(/� . <br /> Building Height: Def. Hgt. �.4L Peak Hgt. ��� <br /> Lot Coverage: N �✓�' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resoludon Date: <br /> Shoreland District: <br /> �, • Avg. Setback: Bluff Setback: LotCoverage: <br /> N Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): _ <br /> 7 <br />