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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: TO �,lJ <br /> PID: <br /> DESCRIPTION OF WORKhu,S Q. <br /> ZONING REVIEW BY.• DATEAPPROVED: UZD'I <br /> BUILDINGREVIE WBY.• DATEAPPROVED: z -z•i - o$ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t/ 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 r/ SITEINSPECTION <br /> Number of SAC Units PA,,& y 6 It 26-�s OTHER (spec) <br /> ZONING CHECK LIST Zoning District: (�L fj <br /> Fire Department: Post/Office: School District: <br /> Lot Area: Sq ft._ ?/O Acres `' Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbac /'/ <br /> Front a Wt Side: Av <br /> Rear tree Ls Side: -7401"k-1— <br /> Adjacent Structures: Wetland. `-7, !r"?l <br /> 35, <br /> Building Height: Def. Hgt, Peak Hgt. � 54 1' <br /> Lot Coverage: — LI Z h <br /> !�� <br /> Grading: Staff Approval Date: Z 7-u$ OA Z�`^' <br /> By �l5t0Council Approval Date: C k,t l <br /> Septic: Staff Approval Date: By,f t /�' , E'er <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed \ <br /> Hardcover: 0-75' /d• 7 07i/ <br /> 75-250' <br /> 250-500' ' l S 7./ '7e,) <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> �h' --lGlli <br /> on /'A <br />