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` CHECK OFF LIST FOR ISSUANCE OF PERl�iITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 1'� ZS (.3 o�-in►s �o,�v r (�-�� <br /> PID: <br /> DESCRIP'TION OF WORK: 1'UL�„� �2�5 <br /> ZO�T�ti G RE'VIEW BY: DATE APPROVED: �- e- 9 5 <br /> BUILD�G RE'VIE`V BY: DATE APPROVED: '� -b - g 9 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/ No <br /> PLAN REVIEW . Yes ,/ No SEWER CONIVECI'ION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units T(Vkr�5FL�2.C.� ��� OTHER (specify) <br /> ---------------------------------��rw---------���'KP------------------------------------------------~--- <br /> ZONIt�1G CH�CK LIST Zoning District: C.2-�(� <br /> Fire Department: (�Nc�(h-�� Post O�ce: School District: b(�ON o <br /> Lot Area: Sq.ft. l 27,3�2 Acres Z-S Z Width /R/���'-'"2 Depth <br /> Survey Submitted: Yes �C No Date of Survey: 3-2`�•�r PS <br /> Proposed Setbacks: <br /> Front �Laicej: �t� S � Fci�t Side: Q 3� <br /> Rear (Street): � Z.s� Left Side: i t(�� '4- <br /> Adjacent Structures: N�✓� Wetland: N//� <br /> Building Hei�h[: Def. Hgt. 2�•� Peal:Hgt. 31•S <br /> Lot Coverage: /V�/¢ <br /> Grading: Staff Approval Date: � - � - �`� By: d��' Council Approval Date: <br /> Septic: Staff Approval Date: rV(A By: <br /> Zoning File: # .Z�-1 � 5 Resolution: # H�� Resolution Date: q- 243 'q� <br /> Shoreland District: _T S <br /> Avg. Setback: v�,,R�q,,�c� Bluff Setback: n/1 A L.ot Coverage: /V�,�o <br /> Ezistina Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' 4,.'7 Z`'�• ( <br /> 2�0-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />