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i <br /> CHECK OFF LIST FOR ISSUANCE OF PERIMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /3 15" <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: !/•6-S$ -- <br /> BUILDING REVIEW BY: . DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIYIIT -Yes t"-'*, No <br /> PLAN REVIEW Yes r✓' No SEWER CONNECTION ND <br /> STATE SUR`HAAGE Yes_�� No WATER CONNECTION -- <br /> INVESTIGATION-FEE Yes No PARK FEE PO <br /> SAC Yes- No ✓ SITEINSPECTION <br /> Number of SAC Units 6 v4-ae-9 F�to:XTHER (specify) <br /> ZONING CHECK LIST Zoning District: LIQ l <br /> Fire Department: - Post Office: lwArt %>� School District: rJ ' <br /> Lot Area: Sq.ft._ 21, 13-4 ' Acres . 6 3 Width _ 56: Y3Depth �AV%e <br /> Survey Submitted: Yes pc No- Date of Survey: fo• Z2-98 <br /> Proposed Setbacks: <br /> F�eat (La�Ce)• I Z.b Right Side: . 33.14 <br /> Rear(Street): '3 Left Side: 1 fo <br /> Adjacent Structures: Wetland: _ a lA <br /> Building Height: Def. Hgt. 211•s- Peak Hgt. 3 3 - <br /> Lot Coverage: 12. <br /> Grading: Staff Approval Date: By: Council_Approval Date: P�4 d'v i 9l o� <br /> Septic: Staff Approval Date: !l /tl- By: <br /> Zoning File: # — Resolution:# Resolution Date: <br /> Shoreland DhL-ict: S <br /> Avg. Setback:' Bluff Setback: _AJ 114 Lot Coverage: /Z- <br /> Existing <br /> - <br /> Existing Proposed <br /> Hardcover: 0-75' 0 d <br /> 75-250' — 2.S% <br /> 250-500' <br /> 500-1000' <br /> Hardcover'Variance Required: Yes No_ 4- Date of Council Approval: <br /> REiVIAM Cm house): <br /> 26 <br />