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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: d." 1/4-4 jh` le 0 A C r C t <br /> PID: <br /> DESCRIPTION OF WORK: 7 ya c(6-0(.-C Scz'e ccy (,1 <br /> ZONING REVIEW BY: ` ;AN el-- �� <br /> Y.• ' / <br /> DATE APPROVED: Zy <br /> BUILDINGREVIEWB <br /> DATE APPROVED: . z H_o y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes - No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ NoWATER CONNECTION <br /> INVESTIGATION FEE Yes No_� PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER ( eci sP JJ) <br /> ZONING CHECK LIST Zoning District: K - 1 <br /> Fire Department: Post Office: <br /> School District: <br /> Lot Area: Sq ft. Acres 2t- Width <br /> Depth <br /> Survey Submitted. YesNo <br /> Date of Survey: 1`f 78) <br /> Proposed Setbacks: <br /> Front �-��� <br /> fes° -Right Side: v <br /> Rear(Street): JZ[> Left-Side: • <br /> Adjacent Structures: <br /> Wetland. • <br /> Building Height: Def Hgt. /l/1- Peak H <br /> 8t• <br /> Lot Coverage: (j4 <br /> Grading: StaffApproval Date: q /'7A By: Council Approval Date: <br /> Septic: Staff Approval Date: -02 Li-0 CI By: bib" <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 14 4 <br /> Avg. Setback: MCWD Permit: <br /> 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 <br /> Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />