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, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> v ADDRESS OR LEGAL: 2,O O t J E (3 C3C. R N 11.,x.5 12-6,4c10 <br /> PID: 03 /17 ,(22. Co 3 <br /> DESCRIPTION OF WORK: po2C.N <br /> ZONING REVIEW BY: , I(/„�Y DATE APPROVED: 11- 13- 5$ <br /> BUILDING REVIEW BY: / gl art.,. _ DATE APPROVED: [r- i 3-5�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ 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: Ra--'6 <br /> Fire Department: Lo ns l (c.0 Post Office: (,p 1.3 G(, ac? School District: 0/IAN a <br /> Lot Area: Sq.ft. r.3.` 4't Acres t.1 L.2 Width ( SO Depth 33 <br /> Survey Submitted: Yes No Date of Survey: S- 3 - <br /> Proposed Setbacks: <br /> Front (lam): cee Right Side: 7 t" <br /> Rear (S ): 2- O Left Side: <br /> Adjacent Structures: A—rnc:+tz- Wetland: f/v <br /> Building Height: Def. Hgt. C.- k Peak Hgt. — <br /> Lot Coverage: ()% <br /> Grading: Staff Approval Date: /" (i4 By: — Council Approval Date: — <br /> Septic: Staff Approval Date: /V A By: — <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: /Vz? <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 /> 7 <br />