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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: "1 J l.( 'S Li A 4 }Ours •1? d <br /> PID: •1 <br /> DESCRIPTION OF WORK: I k �1�c Peck <br /> --_—�___---- -------- _�---- APPROVED: .3/2,210 7 <br /> DATE <br /> ZONING REVIEW BY: � <br /> BUILDING REVIEW BY: DATE APPROVED: 3 • Z3-0--) • <br /> (:tn � . . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PEANUT Yes ✓ No <br /> PLAN REVIEW . Yes tV- No SEWER CONNECTION <br /> STATE SURCHARGE <br /> No WATERCONNECTION <br /> YesPARK FEE <br /> SAC Yes No <br /> INVESTIGATION FEE Yes No _____ PARK <br /> SITEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (� - 1 A • <br /> Fire Department: <br /> Post Office: School District: • <br /> Lot Area: Sq.ft. Acres 5 S . (0(e3i Width Depth <br /> Survey Submitted: Yes <br /> No Date of Survey: 4-C'94 <br /> c,piece-) . <br /> Proposed Setbacks n, I�^ II (.t.+2SS(� '5.2—' <br /> Front(mkt): !/V1iY' 1W5- Right Side: <br /> Rear(met): 400*t. Left Side: <br /> 170 ' <br /> Adjacent Structures: 101 Wetland: ✓ <br /> Building Height: Def, Hgt. /✓/4 Peak Hgt. <br /> Lot Coverage: /t//h <br /> Grading: Staff Approval Date: By: Council Approval Date: • <br /> Septic: Staff Approval Date: 3-.11-o 7 By: 1..A.)6 <br /> "- <br /> Zoning File: N Resolution: R Resolution Date: <br /> Shoreland District: N D Lot Covet-age: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Yes No of Co' o'd A rpv,': <br /> Hardcover Va=lance Required: e3 D`te p <br /> P.E ARKS (in house): <br />