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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: in S -,•,7/2_ (At'-€ <br /> PID: <br /> DESCRIPTION OF WORK: 5 <br /> ZONING REVIEW BY: j:3,,e tI DATE APPROVED: /0-( ' '0° <br /> BUILDING REVIEW BY: � t' DATE APPROVED: (u -f -ov <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes 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 /- ' ( 1 <br /> Fire Department: J,o v vel 6 Post Office: itvv r j School District: Us es To r4 lc- <br /> Lot Area: Sq.ft. /VU C 14#v-,.0 Acres Width Depth <br /> Survey Submitted: Yes pc- No Date of Survey: o N � L¢ ' 4.7 <br /> Proposed Setbacks: <br /> Front (bake): 9 0 Right Side: i 5 <br /> Rear (S ret): !p O Left Side: ( ZO <br /> Adjacent Structures: 2.-0' Wetland: — <br /> Building Height: Def. Hgt. __ Peak Hgt. — <br /> riot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> i\{•IP` Shoreland District: _ <br /> O N4- 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 /> REMARKS (in house): <br /> 7 <br />