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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 2► l i3 Y�y Si c�c:. cz.�p��Q <br /> PID: <br /> DESCR�'TION OF WORK: r�p�J��n c�,� <br /> ZONING REV�W BY: DATE APPROVED: � � •i 3-5 7 <br /> BUII..DING REVIEW BY: ,-„�.� DATE APPROVED: � �- 13-�i7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`�-IARGL Yes � No WATERCONNECTION <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Y:;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L/{- //� <br /> Fire Department: �,oN� l..Ar..r Post Office: (�cN� c..4�c,� School District: p(2sw�O <br /> Lot Area: Sq.ft. $�3� � Acres I •9 S f Width 2�t�' Depth 3b3� <br /> Survey Submitted: Yes_ C No Date of Survey: S-l Z-a(l <br /> Proposed Setbacks: <br /> Front (�): _ / 5 7 Right Side: ► 2.2- <br /> Rear(�tr.e�t): I 1. Z Left Side: Z a <br /> Adjacent Structures: r4�-rnu-r-�� Wetland: N 1�"► <br /> Building Height: Def. Hgt. t� •\c Peak Hgt. O�1c <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> N �.� Shoreland Dist�ict: _ <br /> Avg. Setback: Bluff Setback: L.ot 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 />