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Ilk. <br /> CHECK OEk' LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4-/ 202 0 LP A +e! f-X N Rd <br /> Pm: _w.._ <br /> D SNtitWQR.K s)„,,;rlp ,- C. A-'�' <br /> ....MV—� <br /> ZONING ( Y G REVIEW BY: . DATE APPROVED• D Q <br /> BUILDING REVIEW BY: - _(J. DATE APPROVED; /U 6 Cb <br /> FEES TO BE CHARGED: „ , Misc. Fees Calculated By: <br /> PERMIT Yes / No <br /> PLAN REVIEW . Yes / No SEWER CONNECTION <br /> STATE SURCHARGE Yes v 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: ( '`P <br /> fti <br /> Fire Department: <br /> Post Office: School District: <br /> Lot Area: Sq.ft. Acres LAY ( Width Depth <br /> • <br /> Survey Submitted: Yes __Z__ No Date of Survey: g/!s/ 6) (ie`. `)c:r 11- <br /> 7 1.,,:.,,,<.47 <br /> Proposed Setbacks: (�,, 7: ` + c=''' <br /> i ': ,°'a le/C.,) <br /> Front ke}: t7Q\'114let q Side: 10 0 <br /> Rear(Street): l(6.7' "�_t.efCSide: <br /> / I <br /> Adjacent Structures: I Wetland: 1 SU <br /> Building Height: Def. Hgt. IS,Sf Peak Hgt. <br /> Lot Coverage: 14j/ <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: q ',27-0 G By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 11/14– <br /> Lot Coverage: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dace of Council Approval: <br /> 4 <br /> t. <br /> RE`L S (in house): I (Q'7 spa. 0 P, r'c,,,re ,, , 4 roc„ <br /> PCU,Q c” d Oec; in 0 V 'rel. ci 5_544) bo ,1' y Q Q t ut t f' l s l ;:, \ i- - r,/ iyV-:')dir e_ 1....tx-2: !�:vE >p C)perE 1e.) If '_ ('.$ ".(- <br />