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^. CHECg OFF LIST FOR ISSUANCE OF PERMTrS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I��'� �I��� � <br /> PID: � <br /> DESCRIPTION OF WORK: `3 �� on, �CL�1-� <br /> ZONING REVIEW BY• C� �J�TE APPROVED: �/—��-�� <br /> BUIIIDING REV�W BY: DATE APPROVED: �l-16``�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAN REVI�W Yes � No SEWER CONNEC"I'ION <br /> STATE SURCHARGE Yes � No wAT� ���ON <br /> ' INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No � s� INSPECITON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: IZ�`�� Shoreland District: � <br /> Fire Department• f.�as�, �e,C Post Office: ��"I'Z--'�'��' School Disuict: ��/v� <br /> Lot Area: Sq.ft. j'�,5�b.2. Acres • <br /> 12� Width �D Depth (c�.`{ B�kn-5> <br /> Survey Submitted. yes ,� No Date of Survey: �-7'`��- ��-�`�� <br /> Proposed Setbacks: / � <br /> Front (�Ce): �'f�Il'�' RiP,ht Side: I � � � <br /> t ��,,,�� � + �j <br /> Rear (StFeet)e (D �. ��'�Left Side: �l3 <br /> Adjacent Structures: fi4rT�U�=✓� Wetland: a1�� <br /> Building Height: Def. Hgt. �9�� Peak Hgt. — <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 /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Sepuc: Staff Approval Date: _ By� <br /> Zoning File: # Z ��� Resolution: # <br /> Resolution Date: '�'�(-�� <br /> P��y1[ARBS (in house): <br />