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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �ZS 5 v ss c x c.�2 c_v�. <br /> PID: <br /> DESCRIPTION OF WORK: _ rV cr w ��s, <br /> ZO,�i G REV�W BY: DATE APPROVED: � Z•3 p-01 <br /> BUII..DING REVIEW BY: DATE APPROVED; �Z.,•3�-o r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes ✓' No SEWER COrfNECTTON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOl\"Il�1G CH�CK LIST Zoning District: (L i2-�Li <br /> Fire Department: l,e Post O�ce: (,fav (h�(,� School District: btZ.oN� <br /> Lot Area: Sq.ft. Acres Z t Width 1 i2(2.��uv1�t Depth <br /> Survey Submitted: Yes_� No Date of Survey: /1•Ib-�� <br /> Proposed Setbacks: <br /> Front(�$kc): Sn•5 Right Side: 59."d <br /> Reaz(S�reet): I?.4 Left Side: St� <br /> Adjacent Structures: /V/� Wetland: /'l�)u4 <br /> Building Height: Def. Hgt. 2'Z� Peal:Hgt. 3''t• S <br /> Lot Coverage: N 1�4 <br /> Grading: Staff Approval Date: 12-3- o� By: d�a• Council Approval Date: N J,q <br /> Septic: Staff Approval Date: I By: <br /> Zoning File: # N (� Resolution: /t Resolution Date: <br /> Shoreland District: N O <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />