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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z S 9 o <br /> PID: <br /> DESCRIPTION OF WORK: Q M&. .A�J C9 Alin CPQ <br /> ZONING REVIEW BY: DATE APPROVED: S' •Z-COO <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: A.1, G. <br /> Fire Department: Ue Post Office: ub N b U 1#4 School District: 040^J0 <br /> Lot Area: Sq.ft. 11P.131.57 Acres 3.%J Width 3o-7 Depth 5 `!s <br /> Survey Submitted: Yes c< No Date of Survey: ow 4`1 Ld <br /> Proposed Setbacks: <br /> Front(bake): 1-16 + Right Side: —20' t <br /> Rear(Sheet): Left Side: z z ' } <br /> Adjacent Structures: 1�1. Wetland: N (A <br /> Building Height: Def. Hgt. 0 CC. Peak Hgt. 0.tc. <br /> Lot Coverage: N ( A <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /-.0 <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 /> 7 <br />