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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3'S;705 <br /> PID: <br /> DESCRIPTION OF WORK: 2,,,� j�j2y /�,00 i7��/ t Sc.�aQr✓ <br /> ZONING REVIEW BY: 7 DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: l - 2 (-,03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes -� No <br /> PLANT REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes _j,� 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_ C� No Date of Survey: ( t-` —-7 <br /> Proposed Setbacks: <br /> Front(hake): (bid Right Side: /Z$ <br /> Rear(Street): arll Left Sade: <br /> 1 <br /> Adjacent Structures: 140 Wetland: 1J/4 <br /> Building Height: Def. Hgt. 4 -(C- Peak Hgt. <br /> Lot Coverage: Af /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: /Ja <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusd=g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-5C4' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />