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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR QFFICE USE ONLY, <br /> ADDRESS OR LEGAL: 'f L!)2 %j'fo = ? <br /> PID: <br /> DESCRIPTION OF WORK: A60/rl on) <br /> ZONING REVIEW BY: <br /> �, DATE APPROVED: i 2- t 'v S <br /> BUILDING REVIEW BY: U (� DATE APPROVED: 2 55 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WA1'Ett CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No Sf1'E INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: R R- 14 Shoreland District : Nc? <br /> Fire Department: AAAPuf (- ;u Post Office: ,734i &"(AV School District: 0{1.owv <br /> Lot Area: Sq.ft. 10 ACA- -S Acres 10 - Width Z 6 v Depth i 7 0 0 <br /> Survey Submitted: Yes oC No Date of Survey: <br /> Proposed Setbacks: <br /> Front (bake): 52' Right Side: /`/3 - <br /> Rear (Street): 1 S f70' = Left Side: ZL e <br /> Adjacent Structures: 30' Wetland: /1//A <br /> Building Height: Def. Hgt. 2 Z t Peak Hgt. 2..-1 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> N+ 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /'1''2' 9-5 By: 5•W <br /> Zoning File: # Lo B a <br /> Resolution: # S Resolution Date: /0- 2 3- <br /> REMARKS (in house): <br /> • <br /> 26 <br />