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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z1(,b w A�-2rtOw N 2so ,0 <br /> PID: <br /> DESCRIPTION OF WORK: f,J t=w l2 c—S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: G <br /> BUILDING REVIEW BY: DATE APPROVED: ct-9.c. <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 1/ No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: 2{Z-1f3 <br /> Fire Department: Lo vX _ Post Office: 6PA)5 64A:�-e School District: <br /> Lot Area: Sq.ft. I D�,y 9 7.S Acres 2 -Li Width L 41.9 D Depth Z�{5. S Z. <br /> Survey Submitted: Yes_per No Date of Survey: 10-4 -96 <br /> Proposed Setbacks: <br /> Front (L-dee): 9:51 Right Side: / 5-`I.9 <br /> Rear (StFeet): Left Side: Z(W L <br /> Adjacent Structures: N (� Wetland: �m 0 ` i- <br /> Building Height: Def. Hgt. z'1 ` Peak Hgt. �a` <br /> Lot Coverage: /V /04 <br /> Grading: Staff Approval Date: f b - °! ' Cl (o By: Council Approval Date: <br /> Septic: Staff Approval Date: --"-� By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 1110 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> N. 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 />