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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: . X10 Z5 wAT6R i OwN iUA40 <br /> PID: <br /> DESCRIPTION OF WORK: A w n o�S <br /> ZONING REVIEW BY: NDATE APPROVED: S- d <br /> BUILDING REVIEW BY: DATE APPROVED: 9 - $ 4 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVHT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURC HARGE Yes r/ No WATER CONNECTION <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: RIZ-JA <br /> Fire Department: /m pt a A4,vy Post Office: A 4XA1 School District: OR ONO <br /> Lot Area: Sq.ft. /ru c th� Acres Width Depth <br /> Survey Submitted: Yes Y� No Date of Survey: 5- 1 57 <br /> Proposed Setbacks: <br /> Front(L-ehe): t oo' -+ Right Side: 11 V, 1:- <br /> Rear <br /> Rear(Sheet): !1')0' t. Left Side: `91 i <br /> Adjacent Structures: A-rm 1c if c o Wetland: n/%/-- <br /> Building Height: Def. Hgt. 3 c> Peak Hgt. 3 5 <br /> Lot Coverage: AJ h4 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: tj 1a' By: <br /> Zoning File: # N Resolution:# Resolution Date: <br /> Shoreland DisL-ict: 64- <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 045' <br /> 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 />