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.r <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (o 09 S <br /> ti PID: 07 - 11 5- 4602 <br /> DESCRIPTION OF WORK: <br /> -------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: - � -' <br /> BUILDING REVIEW BY: DATE APPROVED: to <br /> ------------------------------------------ ---- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SUR`HARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE — <br /> SAC Ycs ,/" No SITEINSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> -------------------------------------------- <br /> ZONING CHECK LIST Zoning District: 19-I & <br /> Fire Department: P 0A� Post Office: yUy School District: Mt2 Z/1,6 <br /> Lot Area: Sq.ft.29. 500 Acresc _ Widdi 4�L _ Depth " <br /> Survey Submitted: Yes_ No Date of Survey: -2 - <br /> Proposed Setbacks: t <br /> Front O akc'T- _ Right Side: 3 <br /> i ( l <br /> Reariseet�: -� Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Z� / Peak Hg t. (FtA�gex--F) <br /> Lot Coverage: o t"t 6?>L-12 Del&-w") <br /> Grading: Staff Approval Date: �� ��ry B,/16 Council Approval Date: <br /> Septic: Staff Approval Date: `""— 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.4W No$— 07 17 1 <br /> Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />