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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I q"I (/J3ES FARM RoAO <br /> PID: <br /> DESCRIPTION OF WORK: New tZEs . <br /> ZONING REVIEW BY: <br /> __-��Q~-�--- - DATE APPROVED: ► I-►$ -6c <br /> BUILDING REVIEW BY: U o DATE APPROVED: 1 1- t -os- <br /> FEES <br /> osFEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ 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 x No SITEINSPECTION <br /> Number of SAC Units y OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. 'it S cO0 Acres 2.2 S Width (1/S Depth <br /> pea. M.ArA, co <br /> Survey Submitted: Yes X No Date of Survey: 11-`A•o S <br /> • <br /> Proposed Setbacks: <br /> Front (1e): SI.2 Right Side: 14%.-1 <br /> Rear (Street): G'((' Left Side: I eh.-7 <br /> Adjacent Structures: N I A Wetland: / )I A >35 'f"t7 MANACrt ►e1 We71,-'iL, <br /> P./ /Utttkel P. No ,(crro�J <br /> IE4�td r2-� <br /> Building Height: Def. Hgt. 3v Peak Hgt. 348 <br /> Lot Coverage: NIA <br /> Grading: Staff Approval Date: ► I- is.os By: J,0 . Council Approval Date: – <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: OD <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 />