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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: b y S w,i 1 o w O,,Z. S <br /> PID: <br /> DESCRIPTION OF WORK: 10`-r- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE PPROED:, - t 5 <br /> BUILDING REVIEW BYDATE APPROVED: 24 ci 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes -----No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yus No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: 1_.4- (0 <br /> Fire Department: lz,L If-l�' Post Office: �,,x�ll�-UC.t School District: C�,2�= ►0 <br /> Lot Area: Sq.ft. �yc u{,,kec,,e Acres — Width Depth <br /> Survey Submitted: Yes No x Date of Survey: <br /> Proposed Setbacks: <br /> Front (take). _ i00 t Right Side: 311.1— <br /> Rear <br /> 5Rear(Street): S-00' ± Left Side: l00 t i" <br /> Adjacent Structures: 101 Wetland: 7-(o + <br /> Building Height: Def. Hgt. 0, Peak Hgt. 0,-4- <br /> Lot <br /> ,LLot Coverage: /y i,4 <br /> Grading: Staff Approval Date: /" 14- By: -- Council Approval Date: ~ <br /> Septic: Staff Approval Date: /N (/� By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> n 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 /> 26 <br />