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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�:e,� .s��.F��4-2 i,v�;c;,� � <br /> PID: <br /> DESCRIPTION OF WORK: /`; `,(,�,J ;2�5 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �= ;, � �� ° . DATE APPROVED: r v i�- �t,4: <br /> BUILDING REVIEW BY: c i;,,,,,,�� DATE APPROVED: [�-��'- �' c.� <br /> ----------------------------------------------, ----------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �"' No SEWER CONNECTION <br /> STATE SUR`HARG� Yes r/" No WATERCONNECTION <br /> INVESTIGATION-FEE Yes No cr-� PARK FEE <br /> SAC Yes ,;� No SITEINSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: F� - � �'� <br /> Fire Department: ���i �� Post Office: ���' ' �- = School District: L-�:'k,�'�f� <br /> , _ <br /> Lot Area: Sq.ft.,�,3,�i��3 = Acres � � � Width l.�i-`1 I fi U ts Depth �2.�� � l��,'`< <br /> Survey Submitted: Yes X No Date of Survey: ��' - � � '� k= <br /> Proposed Setbacks: <br /> Front (�e): r:. � � Right Side: �� � �- <br /> Rear (S�aet): �Q'i � Left Side: '��l.� � <br /> Adjacent Structures: �/��� Wetland: �/I/�- <br /> P <br /> Building Height: Def. Hgt. �i Peak Hgt. 3:a•.� <br /> Lot Coverage: � , k- <br /> Grading: Staff Approval Date: 1�% '�'�'�- i� By: ��= ' Council Approval Date: — <br /> s <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> � Existing Proposed <br /> N Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> 1 <br /> REMARKS (in house): <br /> � 26 <br />