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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FO OFFICE USE ONLY <br /> ADDRESS OR LEGAL: U�C Lje‹, 4 (3 ,^ ti f1 c1 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: 6 1 1 1DATE APPROVED: 5" <br /> BUILDING REVIEW BY: C <br /> d DATE APPROVED: ! • _ 09 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V No <br /> PLAN REVIEW Yes V. No SEWER CONNECTION <br /> STATE SURCHARGE Yes i/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No / PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units •s„ c. OTHER (spec) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: <br /> / School District: <br /> Lot Area: Sq ft. Z.&7i /"►T 1 Acres ..5 L1 J Width 72 f( /r <br /> Depth <br /> Survey Submitted: Yes A No /l' 1 q 0 ' <br /> Date of Survey: <br /> Propose Setb cks: / (r r l`ca-+ti <br /> /�-- <br /> Front ake): 4..1 + R ht Side: V/�i ' t 12-Y <br /> i‘ <br /> ea (Street): /4' Leftft ide: f q <br /> / � pet } <br /> 11 <br /> Adjacent Structures: Wetland: ftep me 12-0' n <br /> Building Height: `Def.Hgt. 2'2 1 5 Peak Hgt 3 l�Z <br /> Lot Coverage: /-1 117 <br /> A1441Grading: Staff Approval Date: I.-11(- 0 7 By: Q ' <br /> Council Approval Date: <br /> Septic: Staff Approval Date: 1)-23. -c) j By: iV�.- <br /> Zoning Filer # Resolution: # Resolution Date: <br /> Shoreland District: A-)A <br /> MCWD Permit: <br /> Avg. Setback: Bluff Setback: <br /> Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No <br /> Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />