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+ CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE, USE ONLY <br /> ADDRESSOR LEGAL: //SS- BA)w'I /( S PID: <br /> DESCRIPTION OF WORK: 4.0o-i e N t /Jiz- <br /> ZONING REVIEW BY: 4(� '---_ DATE APPROVED: Co - `t4. <br /> BUILDING REVIEW BY:. c� ('Qt;,. DATE APPROVED: t, . ztr cti _ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v, No <br /> PLAN REVIEW Yes 4---- No SEWER CONNECTION <br /> STATE SURCHARGE Yes v" No WATER CONNEC'T'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No 4------' SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: A R .. 1 Shoreland District : Ye-3 <br /> Fire Department: C_-C-- Post Office: C..•(-• School District: p2A .+o <br /> Lot Area: Sq.ft. I'It i3 2,-1 Acres • y( Width iflita4oLirk. Depth <br /> Survey Submitted: Yes Of- No Date of Survey: /-/4 `el q <br /> Proposed Setbacks: <br /> -ELi): Z 5/(...) Right Side: 1 .1 '0(6 <br /> Rear-(Street): -I B.S S(c Left Side: y 3.1 pJ ILA) <br /> Adjacent Structures: 4-r 4 Wetland: /J Os <br /> Building Height: Def. Hgt. NO CA.4.4refre2t Peak Hgt. <br /> Avg. Setback: fit/ fra- Bluff Setback: /✓ Lot Coverage:E- 47. 3 P/t*t_o<:oJ #`-j•2"7o <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 2-o.0 b 21. 1 <br /> Hardcover Variance Required: Yes No .,Y.- Date of Council Approval: <br /> Grading: Staff Approval Date: N //4 By: Council Approval Date: <br /> Septic: Staff Approval Date: /V ( A By: <br /> Zoning File: # ZEYS Resolution: # 5 9$ Resolution Date: - <br /> REMARKS (in house): <br /> 26 <br />