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CkiECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • <br /> FOR 01-.1-ICE USE ONLY <br /> ADDRESS OR LEGAL: 41305 w,(law \l(c <br /> PID: <br /> DESCRIPTION OF WORK: IV CuJ (?x5 <br /> ZONING REVIEW BY: DATE APPROVED: S— ►6 - • <br /> BUILDING REVIEW BY: ia DATE APPROVED: S' "'t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes L/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes f/ No WAL RCONNECTION <br /> J,'VESTIGATION FEE Yes No i PARK FEE <br /> SAC Yes ✓ No SITEINSPECTION <br /> Number of SAC-Units .1. OTHER (specify) <br /> ZONLtiG CI 'CK LIST Zoning District: Re.- vs <br /> Fire Department: (-on Url(.t: Post Office: (A LA c c`. School District: (5•Tj-1944 • <br /> Lot Area: Sq.ft. L(Le22.`o Acres ,9(o Width 2.40• /k44 Depth Z ' <br /> Survey Submitted: Yes C� No Date of Survey: s 3—'0 1 <br /> Proposed Setbacks: <br /> Front(-L-e:ee): ")0.5S Right Side: ' —1 2—S4) <br /> Rear (S.Feet): ?)(-1. (.7 Left Side: 4f3. 345 <br /> Adjacent Structures: ^J (fr Wetland: /t) (A <br /> Building Height: Def. Hgt. -2 aj Peak Hgt. J•S <br /> Lot Coverage: N / <br /> Grading: Staff Approval Date: ,S—• 0 0. • 0 t _ By: c, - Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /LD <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2.50-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />