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t � <br /> a . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 0 l t 5 u s 5 E X �Zo�A+� <br /> PID: <br /> DESCRIPTION OF WORK: o o l <br /> ZONING REVIEW BY: w� DATE APPROVED: Y- 2 D- 9�3 <br /> BUILDING REV�W BY: DATE APPROVED: �- ?.c�_�i� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes ✓ No SEWER COrfNECTION <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 /> ZONING CHECK LIST Zoning District: l?R•lQ <br /> Fire Department: (�o�► �,t+ Post Office: (�n� Gcs School District: p(2.tr� <br /> Lot Area: Sq.ft. Np G Hi4�rGe Acres — Width — Depth — <br /> Survey Submitted: Yes�C_ No Date of Survey: o�+ G'r�' [-7-9$ <br /> Proposed Setbacks: <br /> Front (�e): �"j� � Right Side: �/�� <br /> Rear(S�eeE): �00� Left Side: 4 S d� <br /> Adjacent Structures: 1°I� Wetland: �5� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: �# Resolution: # Resolution Date: <br /> �t�� <br /> I�� Shoreland Disuict: <br /> Avg. Setback: Bluff Setback: LotCoverage: <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 /> 7 <br />