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,46 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '(1)0 W 44-tt zA• auct LA) <br /> PID: <br /> DESCRIPTION OF WORK: rth1 c ex(Stl nct Cfg c Lc iv? Lit k (Lrcpr <br /> ZONING REVIEW BY: DATE APPROVED: 11 7 1,2 ff' <br /> BUILDING REVIEW BY.: - DATE APPROVED: =Zc_0 g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes c No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes . No PARK FEE <br /> SAC Yes No • ii SITE INSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECK LIST Zoning District: - ( B UP G- 9 p le coay-S) <br /> Fire Department: Post Office: School District: 1 <br /> Lot Area: Sq ft. Acres O s C- Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(betiret 110 C vt q.� Right Side: c// <br /> a45Rear(Street): CLeA L eft Sede: 4 <br /> Adjacent Structures: O Wetland: C/C. <br /> Building Height: Def Hgt. /l/• Peak Mgt. <br /> Lot Coverage: r4- <br /> Grading: Staff Approval Date: AJ/s4 By: /U. Council Approval Date: <br /> Septic: Staff Approval Date: J/4 By: " <br /> Zoning File: # OS -5387 Resolution: # Resolution Date: r(I <br /> /2 11/ <br /> Cu <br /> Shoreland District: Mil. MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />