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, ' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �a 5.5' �7 GUec.L� <br /> PID: l� 3-i/ 7- 3 23 aa�° <br /> DESCRIPTION OF WORK: o� <br /> ZONING REVIEW BY: ;,,,— DATE APPROVED: �-I-�Y-�i7 <br /> BUII.DING REVIEW BY: f'U/� DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t,/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR:�IA1�G� Yes � No WATERCONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: %2:/� <br /> Fire Department: � s Post Office: c,�iv(� (.A-[c.� School District: ��°� <br /> Lot Area: Sq.ft. yU� Gr�,4ru c%Acres _ Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: oc.� �i c.0 �/Lor� <br /> �� ��.5 <br /> Proposed Setbacks: � o <br /> Front(�e} ZW l� �' Right Side: f0S � <br /> Rear(Street): cl7� + Left Side: �ZS�J �= <br /> Adjacent Structures: 0 7 ��' Wetland: /l1/d4 <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> �j�. Zoning File: # Resoludon: # Resolution Date: <br /> �' <br /> Shoreland DisL-ict: _ <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 /> . 26 <br />