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• CHECK OFF LIST FOR ISSUANCE OF PER1MITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31S i u..0 N PID: <br /> DESCRIPTION OF WORK: ((:?- (MR 4C9 <br /> ZONING REVIEW BY: cQl2r), ,�______-------- DATE APPROVED: to-3O-q ST <br /> BUILDLNG REVIEW BY: j DATE APPROVED: /0-3o -cis- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes ,/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WAXER CONNELI'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ' SUE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: ig-/6 — Shoreland District : <br /> Fire Department: Post Office: C. <br /> L School District: o /v1) <br /> Lot Area: Sq.ft. e7,3(90 Acres Z <br /> • tic)5 Width 312 Depth ZS <br /> Survey Submitted: Yes No pc Date of Survey: <br /> a-xc.s270 sur' <br /> Proposed Setbacks: --- <br /> Front (Etiket: 235 Right Side: j <br /> Rear (Street): l5 Left Side: 2 56 t <br /> Adjacent Structures: Z CI 4- Wetland: N/4 <br /> Building Height: Def. Hgt. !2• Peak Hgt. /5 <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 /> Grading: Staff Approval Date: By: Council Approval Date: <br /> �• Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> REMARKS (in house): <br /> 26 <br />