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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2, 1 S L EST urk C—'A Y <br /> PID: <br /> DESCRIPTION OF WORK: A 0 a t n 0 e--) <br /> ZONING REVIEW BY: DATE APPROVED: 3- '- of <br /> BUILDING REVIEW BY: *camDATE APPROVED: 3 -S-01 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes V 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: L R-/r3 <br /> Fire Department: tvtA3v nr I) Post Office: ax(a-c-s c 4,A- School District: to QSTQN/c.4- <br /> Lot Area: Sq.ft. L/ ,b 7 J Acres I. 0 ZS Width /n it4 G U4.4,2 Depth <br /> Survey Submitted: Yes p( No Date of Survey: 3-"7-b( <br /> Proposed Setbacks: <br /> Front (fie): 69 .1 Right Side: 6,‘,.(4,' <br /> Rear (Sheet.): 1 I 0 Left Side: 82 <br /> Adjacent Structures: N I(r Wetland: nl /# <br /> Building Height: Def. Hgt. 0• IL Peak Hgt. <br /> Lot Coverage: /i /1* <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y'es <br /> Avg. Setback: /1/ 1/4 Bluff Setback: it/ /`9' Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' o 0 <br /> 75-250' o o <br /> 250-500' i t.S3 z2.1? <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />