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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: Z.�o z �"6 a 2 w c��✓�s ✓�/Z . <br /> PID: <br /> DESCRIPTION OF WORK: N c:w 2c:.5 <br /> ZO�tING REV�W BY: --W--~--W DAT'E APPROVED: U '1 �- 4 S <br /> BUILD�IG REVIEW BY: DATE APPROVED; •7 - 2c.-4 4 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No i <br /> PLAN REVIEW Yes �/ No SEV�TER CONNECTION ,� <br /> STATE SURCHARGE Yes � No WATERCONNECTION 0��� <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes ✓ No SIT'EINSPECTTON <br /> Number of SAC�Units 2 OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: R-I�► . � <br /> Fire Department: �.� �u..r Post Office: (�f�tc� School District: p�rv0 <br /> Lot Area: Sq.ft. Sy,DY3 Acres l•2�f � Width //1/LC6 uc.4i'� Depth <br /> Survey Submitted: Yes OC No Date of Survey: �-;'�'°I g <br /> Proposed Setbacks: <br /> Front(L�k�e�: 5� . S Right Side: `l0•b <br /> Rear(Street): -z�n � + Left Side: �0 . 0 <br /> Adjacent Structures: N �G4 Wetland: — <br /> Building Height: Def. Hgt. 3 v` Peal:Hgt. 37 � <br /> Lot Coverage: .6°To . <br /> Grading: Staff Approval Date: g - !S�-9�( By: ��• Council Approval Date: <br /> Septic: Staff Approval Date: It�//� By: <br /> Zoning File: # ^ Resolution: # — Resoludon Date: — <br /> Shoreland District: /U 0 <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> �s-Zso� N. r�. <br /> Zso-soo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No DC Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />