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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: j 7 11,2- + Nb <br /> OF WORK: �; /r � � <br /> 21670 2-414 . <br /> ZONING REVIEW BY: (r DATE APPROVED: -3 <br /> BUILDING REVIEW BY: DATE APPROVED: �p . 3 y G► <br /> ----------------------------------------------a----------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By• Qe4 tgc3c, 4- <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes No SEWER CONNECTIONi 22 S.c o <br /> STATE SURCHARGE Yes ci No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes / No SITEINSPECTION <br /> Number of SAC Units 1 OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: LA- I IS <br /> Fire Department: MCU;,j,3 Post Office: School District: We - yk%-tcA <br /> Lot Area: Sq.ft. 0,900 Acres -L4 Width i GC Depth 05-'7$ <br /> Survey Submitted: Yes x No Date of Survey: Z--7-16 <br /> Proposed Setbacks: <br /> Front (L-ak&): 3$ Right Side: 1 S t <br /> 1 c <br /> Rear (Street): 135 Left Side: 33 <br /> Adjacent Structures: IJ(ft Wetland: N 1,4 <br /> Building Height: Def. Hgt. Z 3 5 Peak Hgt. Z'1• <br /> Lot Coverage: 13, <br /> Grading: Staff Approval Date: l0 -3. ry G By: Council Approval Date: A16 S-i.3 `1C. <br /> Septic: Staff Approval Date: Af 4-- By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: V?-.5 y <br /> Avg. Setback: N (A Bluff Setback: Z16 , Lot Coverage: i 3 /a <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' r 5 • <br /> 500-1000' <br /> Hardcover Variance Required: Yes No.LA Date of Council Approval: <br /> REMARKS(in house): <br /> 26 <br />