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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ` rL[ �,� �� Ira;z <br /> PID: <br /> DESCRIPTION OF WORK: NEW ?C- 5 <br /> --------------------------------------- ----------7-------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: 3 •Y • 5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v"' No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SUR`HARGE Yes cl No WATERCONNECTION <br /> INVESTIGA'T'ION FEE Yes No _� PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: Ry--18 <br /> Fire Department: Post Office: u School District: (,P�3 AJO <br /> Lot Area: Sq.ft. 8-1 k ul3 Acres T Width 2$`�•S'"G Depth 30(u . 1 <br /> Survey Submitted: Yes Y- No Date of Survey: It — Zi 'fit W <br /> Proposed Setbacks: <br /> Front f La#e): _ S� Right Side: �✓� �-- <br /> Rear (Sheet): Left Side: 1 yZ` + <br /> Adjacent Structures: Wetland: /\i A <br /> Building Height: Def. Hgt. Z Peak Hgt. 31.1 <br /> Lot Coverage: N I A <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /g 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 No Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />