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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10'ZS -TAVIA A AA C*- <br /> PID: <br /> DESCRIPTION OF WORK.• <br /> ------------------------------------------------- ----. <br /> --------- <br /> ZONING REVIEW BY.• _ DATE APPROVED: / �3 <br /> BUILDING REVIEW BY.• DATE APPROVED: <br /> ------------------_----------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes I/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ,/ SITE INSPEC77ON <br /> Number of SAC UnitsOTHER (specify) <br /> ------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq;ft. V. 2.Z?-.?-If Acres 2 Width 2 03. <br /> & Depth <br /> Survey Submitted: Yes A No Date of Survey: 4-to -o3 <br /> Proposed Setbacks: <br /> Front (bake): 2--),-f.9 Right Side: 311- <br /> Rear <br /> 9.Rear (S"et): b'(. (o Left Side: 37.8 5 <br /> Adjacent Structures: N//9 Wetland: 11.15'i <br /> Building Height: Def. Hgt. 22.4 Peak Hgt. _A <br /> Lot Coverage: ^//.4 <br /> Grading: Staff Approval Date: 1 - I It -o 3 By; -K, . Council Approval Date: <br /> Septic: Staff Approval Date: "7- 14 By; 11 Q <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /y o <br /> Avg.Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />