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. . , <br /> CHECS OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � � � S..� s S,e X ,q�e <br /> PID: � <br /> DESCRIPTION OF WORg: X I C7 0��y o,�, Dni c. ,+r �.�,, .r.�,,,,p1 <br /> ,J <br /> ZONING RETVIEW BY.• DATEAPPROYED: � Q'$ <br /> BUILDING REi�lEW BY.• DATEAPPROVED: 7•3 v-c� <br /> FEES TO BE CHARGED: Misc. Fees CalcuCated By: <br /> PERMIT Yes__� No <br /> PLAN REVIELV Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No_�/ PARK FEE <br /> S`4C Yes No , � SITEWSPECTION <br /> 1Jumber of SAC Units OTHER (spec�) <br /> : ZONING CHECB LIST Zoning District: � <br /> Fire Department: Post O�ce: School District: - <br /> Lot Area: Sq.ft. • Acres Width Depth <br /> Survey Submitted.• Yes ✓ No Date o Su 2�� , <br /> .f �'�'�'•. <br /> Proposed Setbacks: �,,�(� f � � <br /> Front�e : 1�1(.fllY�i YlW�ide: Z,(�j� `S�vL�.+''�� /hr+2-a <br /> � 57� � <br /> Rear(yStr�at,1' � Left Side: � � • <br /> Adjacent Structures: Wetland.• <br /> Building Height: Def.Hgt. �, Peak Hgt. -`� <br /> �� _ <br /> Lot Coverage: , <br /> Grading.• Staff'Approval Date: By: CouncilApproval Date: <br /> Septic: StafJApproval Date: � <br /> �" �By;�.s.�� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland 13istrict: dT MCWD Permit: <br /> .4vg. Setback: BluffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' , <br /> 500-1000' <br /> Hardcover Yariance Reguired.• Yes No Date o Council A <br /> .f pproval: <br /> �M4RKS(in house): a� �'�/ � Gc����ir.rG� !� <br /> C C���^ o �d - <br /> 33 <br /> ---__•_ '' <br />