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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ Z-(005 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: 1 0-5 <br /> BUILDING REVIEW BY: DATE APPROVED: t a--r -5.7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: --y — <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes No SEWER CONNECTION <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 /> ---------------------------- ------- <br /> ZONING CHECK LIST zoning District: L2.1!_3 <br /> Fire Department: "w,, L-kicc:_ Post Office: nr- V{-kc 42- School District: l�tlu& <br /> Lot Area: Sq.ft. Acres Z }- Width Depth <br /> Survey Submitted: Yes_ No Date of Survey: 3 u 12 <br /> Proposed Setbacks: <br /> Front (L-eke): . b Right Side: 5 5 + <br /> Rear(Street): 2 C Z' -4- Left Side: -70 <br /> fi <br /> Adjacent Structures: Al i A Wetland: <br /> Building Height: Def. Hgt. Z ? Peak Hgt. 3 <br /> Lot Coverage: n/ 1 <br /> Grading: Staff Approval Date: / By: [ -- Council Approval Date: <br /> Septic: Staff Approval Date: � By; <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:-ict: <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 /> REiVIARKS(in house): <br /> 26 <br />