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� � � ' CI3ECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ol'/D(p S�e �r��v cQ � , <br /> PID: <br /> DESCRIPTION OF WORK: `�Ze u� ,���,�c�r��� <br /> ZONING REVIEW BY: ,�, DATE APPROVED: 5-z 5-9 7 <br /> BUII�DING REVIEW BY: DATE APPROVED: 9 -z.s-4 7 <br /> . FEES TO BE CHARGED: Misc. Fees Calculated By: . <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTTON <br /> ' STATE SUR`HA�CrE Yes �/ No WATER CONNECITON <br /> INVESTIGAT'ION-FEE Yes � No PARK FEE <br /> SAC Yes � � No SITEINSPECTION <br /> Number of SAC Units �_ OTHER (specify) <br /> ZONIlVG CHECK LIST Zoning District: R-t h _ <br /> Fire Department: i = Post Office: School District: O RoN o <br /> . � <br /> Lot Area: Sq.ft. 3'7.fsfl'7 A�res '.Sa�s Width I 60 Depth Z 3s A�v�' <br /> Survey Submitted: Yes X No Date of Survey: � -��-q� <br /> Proposed Setbacks: <br /> Front (be�e�: (,1..2 � Right Side• `�(.( � <br /> Rear(Stceet): l�3� 'F' S Left Side: 3d•5 w <br /> Adjacent Structures: IJ 1� Wetland: n!(A � <br /> Building Height: Def. Hgt. 3 0' Peak Hgt. 3�3� <br /> Lot Coverage: V�«- <br /> Grading: Staff Approval Date: `}•L Y- 5 � By: 6�/ Council Approval Date: — <br /> Septic: Staff Approval Date: �! /A- By: — <br /> Zoning File: # Resolution: # Resolution Date: � . <br /> Shoreland Dis�-ict: � . <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> � Existing Proposed <br /> Hazdcover: 0-75' <br /> �"� 75-250' . � <br /> 250-500' � <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): - <br /> . 26 . <br />