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� , . � <br /> ' a CI�ECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ I 2"3 d q 26 ayC. <br /> PID: <br /> DESCRIPTION OF WORK: GA�t�� R�o, n o•J <br /> ZONING REVIEW BY: DATE APPROVED: � � 2.�--csz, <br /> BUILDING REVIEW BY: DATE APPROVED: � - L?•o e. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT . Yes c.i' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �,� No T WATERCONNECTION <br /> INVE9TIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (�2•�3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 2 d,�t��{ Acres .�t 7 Width Depth <br /> Survey Submitted: Yes No Date of Survey: �-ZS•�3 ft.c..av�s.�.�9 (�-10-C Z <br /> Proposed Setbacks: <br /> Front(I�± Z�` -� Right Side: �S� '� <br /> Rear(St�eet): 125 `-'.: Left Side: (,2' t <br /> Adjacent Structures: prr�ac� Wetland: ��•a <br /> Building Height: Def. Hgt. d. 6c. Peak Hgt. n .j�, <br /> Lot Coverage: /v//� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: —' By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: �Iv <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 /> REMARBS(in house): <br /> 7 <br />