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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 36x5 'TOc-,o 111.p^o <br /> PID: <br /> DESCRIPTION OF WORK: NCW Crg#,C� <br /> ZONING REVIEW BY: - _ —�___-_-_-__--DATE APPROVED: ---1-t fs -o� <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> --__---_--------____� �� -------------------------------------------------- <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ;/ SITEINSPECTION <br /> Number of SAC Units YA4&tvr,� oE^,- OTIJER (specify) <br /> kSl3st? sTi��At2ow_/ ✓Ja�-- -sA�-------------------- - MASw AL <br /> s 4 c- = �7 S ,rC7�T5 �+ S A <br /> ZONING CHECK LIST Zoning District: ZA-,c I'f'( s ovns /DAY*_ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Sq,3 6 Acres 1.31. Width 1(P3.4 2 Depth 3x67 A-( <br /> Survey Submitted: Yes x No Date of Survey: /-J o•o S <br /> Proposed Setbacks: 51.5 r(o` LJ 0-1 <br /> Front(L-aker 1-7 411, t Side: .5t•3 <br /> Rear(S*Fw): '2't-o Left Side: I?Z. <br /> Adjacent Structures: AJ 14 Wetland: #J1A <br /> Building Height: Def. Hgt. 0Peak Hgt. <br /> Lot Coverage: 'J•5 <br /> Grading: Staff Approval Date: Mdu 4 , 2.o*S By: o!n Gouncil Approval Date: — <br /> Septic: Staff Approval Date: ll1 I iA By: – <br /> Zoning File: # os•3to4 Resolution: # Resolution Date: 6-i3-os <br /> Shoreland District: <br /> Avg. S tback4. N 1 Bluff Setback: fQ 1 R Lot Coverage: -7.5 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 0.,6 q3-4 <br /> Hardcover Variance Required: Yes y, _ No Date of Council Approval: <br /> REMARKS (in house): <br />