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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 21w G"=lt- <br /> PID: <br /> DESCRIPTION OF WORK: o = 2 <br /> ------------- ------ <br /> ZONING REVIEW BY: DATE APPROVED. <br /> BUILDING REVIEW BY: DATE APPROVED: 00` iH-gb <br /> - -------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes L.-- No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------- <br /> ZONING CHECK LIST Zoning District. (Zk-16 Shoreland District : 4ES <br /> Fire Department: t ory (Aw�e Post Office: Czojo Lhi School District: OR-.0&30 <br /> Lot Area: Sq.ft. / 0, -7 S3 Acres 3. t 2 Width 5Y7. 9 Depth 313— <br /> iS� Au2 <br /> Survey Submitted: Yes �4 No Date of Survey: <br /> Proposed Setbacks: <br /> L <br /> Front (L -): 4-1t. `t Right Side: 315 <br /> Rear (St+w): 1-20' 4- Left Side: / 85 , w <br /> Adjacent Structures: 2-3 <br /> Wetland: /V <br /> Building Height: Def. Hgt. 0. Peak H-t. O <br /> Bluff Setback: Lot Coverage: <br /> Avg. Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' -- <br /> 75-250' <br /> 250-500' <br /> A)A - 500-1000' <br /> 1 Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Resolution: 7 <br /> Zoning File: � ZIS3 Resolution Date: Q-1 <br /> �--��– <br /> REMARKS (in house): <br />