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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2Ll S o w o o t-i-w vi i 41012 <br /> PID: <br /> DESCRIPTION OF WORK: (J e--1-. G fA R A 6 t -Z r 3S•S <br /> ZONING REVIEW BY: 4) , � DATE APPROVED: S- 12 • °3 <br /> BUILDING REVIEW BY: It Alp . DATE APPROVED: s Z 03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes V 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: <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. q 3,-)o7 Acres 2.1 Width Z ti S Depth 3 152- y g <br /> Survey Submitted: Yes 5c- No Date of Survey: / <br /> Proposed Setbacks: <br /> Front(bake): 32M.4l p, Right Side: (.0 <br /> Rear(Sheet): 3 0. Left Side: /1i •) <br /> Adjacent Structures: i 7.0 4- Wetland: N(R <br /> Building Height: Def. Hgt. o.( . Peak Hgt. — <br /> Lot Coverage: N/+4 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: 1Vo <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 /> REMARKS (in house): <br /> 7 <br />