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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 21(p p W eV�T V\J P—OA 4 <br /> PID: - // 8` d 3 q,3 b O (5. <br /> DESCRIPTION OF WORK: Pont-�A <br /> ------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 2-19 <br /> BUILDING REVIEW BY: DATE APPROVED: -2-1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes �C No SEWER CONNECTION <br /> STATE SURCHARGE Yes 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: <br /> Fire Department: !Lx �n us Post Office: .Ge School District: C.>2A--*j O <br /> Lot Area: Sq.ft. No c(hst;,tAcres — Width Depth ^ <br /> Survey Submitted: Yes r- No Date of Survey: pv 1=t t� <br /> Proposed Setbacks: <br /> Front(bake): 1 S b, {= Right Side: I(.l. <br /> Rear(Sfeef) -14� f Left Side: 2- <br /> Adjacent <br /> Adjacent Structures: A-r -mcw&J Wetland: /1( I/4 <br /> Building Height: Def. Hgt. 0-�- Peak Hgt. <br /> Lot Coverage: 0,►� <br /> Grading: Staff Approval Date: /J By: Council Approval Date: <br /> Septic: Staff Approval Date: N I q By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: ti Q <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 />