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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: zs Z S T1A o u V our0tt j 39 ao <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: P,10 DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION-FEE Yes Noy PARK FEE <br /> SAC Yes No r/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (Z(L-1(3 <br /> Fire Department: (Mcks, Post Office: LA rx,C LgAgx School District: CyIbAJO <br /> Lot Area: Sq.ft. 17°I Acres '2 - Width ZZ 5.31 A VC' Depth 386.012 <br /> Survey Submitted: Yes_ No Date of Survey: 3-(O--7c/ <br /> Proposed Setbacks: <br /> Front (htltej: 49 S,(97 Right Side: 3 4f-S`( <br /> Rear (Sheet): —2-S70, } Left Side: 79� f <br /> Adjacent Structures: N t(l Wetland: /t!(lo <br /> Building Height: Def. Hgt. Peak Hgt. 3G <br /> Lot Coverage: Al(4 <br /> Grading: Staff Approval Date: 3 'ZY-`7) By: U Council Approval Date: <br /> Septic: Staff Approval Date: ,�p�-'� By: �� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <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 /> 26 <br />