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r . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: �2.9a /aRC'�o2 sT <br /> PID: <br /> DESCRIPTION 4F WORK: pcs ��2A��. <br /> ZO�IPIG REVIEW BY: w-- ----------- DATE APPROYED: �' -a� - 'y <br /> BUII.,DI�i IG REY��Y BY: DAT'E APPROYED: �_ z 7- �7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLA��t REVIEW Yes �j No SEWE�R COS�INECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE • Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOi�TING CH�CK LIST Zoaing District: 2 R• I 3 . <br /> Fire Department: � Post Office: School District: • � <br /> Lot Area: Sq.ft. l Z. 4�05 Acres . Z°t ' Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Progosed Setbacks: , � � <br /> Front r��): N� Right Side: �/�-c6 <br /> Reaz (�t�rcet): 5'�� Left Side: Z i.'2_ <br /> Adjaceat Structures: r O� `Vetland: N �/; <br /> Building Height: Def. Hgt. 1 s� Peal:Hgt. ZO•'S <br /> Lot Coveraae: 1�1•� <br /> Gradino: Scaff Approval Date: "' By: Council Approval Date: <br /> Septic: Staff Apgroval Date: N(� $Y� <br /> Zoning File: # �Y'30`�� Resoludon: # Resolution Date: $ •23 'a�`( . <br /> Shoreland District: ,�►�.5 <br /> Avg. Setback: _ N/Yl Bluff Setback: �/A LocCoverage: ��{��l <br /> . Existiag Praposed <br /> Hazdcover: 0-75' . <br /> 75-250' � <br /> 250-500' -- <br /> 500-1000' --�— <br /> Hazdcover Variance Required: Yes No� Date of Council Approval: <br /> RE1�2ARKS (in house): <br /> ? <br />