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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: $45 so <br /> PID: <br /> DESCRIPTION OF WORK: *,C..�i.r OA-C-43 <br /> ZONING REVIEW BY: DATE APPROVED: ff- 13-oi <br /> BUILDING REVIEW BY: DATE APPROVED: tr-t.7- vt <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: R2-1-d <br /> Fire Department: (Add(.&Zo Post Office: GJA�� School District: 0"/VO <br /> Lot Area: Sq.ft. Acres 1) /K4w3 Width Depth <br /> Survey Submitted: Yes - No Date of Survey: 10-Zs -S It (o^j, 11, <br /> Proposed Setbacks: <br /> Front(fie): $ Right Side: -)3 <br /> Rear(Sareet): 900b ' + Left Side: yQ t t <br /> Adjacent Structures: A'i1'YMWetland: Z 6 f <br /> Building Height: Def. Hgt. 6� .(C Peak Hgt. Q (G <br /> Lot Coverage: <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # —AHA Resolution: # Resolution Date: <br /> Shoreland District: N HA <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 />