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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> F ROFFICE USE ONLY <br /> ADDRESS OR LEGAL: (�/a.{-e+a tp <br /> PID: 10 <br /> DESCRIPTION OF WORK: re— f A <br /> ZONING REVIEW B E DA TEA PPR 0 VED: <br /> BUILDINGREVIE WBY.• _ DATEAPPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes—_;7^ 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 (spec) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> i <br /> Lot Area: Sq ft. Acres Width Depth G <br /> Survey Submitted: Yes t/crNo Date of Survey. f'� � Z/07 g <br /> Proposed Setbacks: __ / <br /> Front 4ak&)- � /h W ftk Side: <br /> f wQSt- F <br /> Rear(Stxeet): 2 7G Left Side: <br /> Adjacent Structures: Wetland <br /> Building Height: D/eff.Hgt. Zor Peak Hgt. (p <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: ' ,b�' By: <br /> Zoning Filer # Resolution: # Resolution Date: <br /> Shoreland District: !� � S'�hbs b/yy MCWD Permit: <br /> Avg. Setback: Bluff Setback <br /> Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' h/-1•vC�<Q[�/ /h <br /> 75-250' 7S— APP tck-t/ <br /> 250-500' w rh? bpi/c/ih� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No <br /> Date of Council Approval: <br /> REAL RKe <br /> S(in hou )CZ? f701 `7'r l• �ifin(/ ✓%(¢.� /N7 ���•�+ <br /> `� <br /> 33 <br />