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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 2�� Q2i�A2 S i. <br /> PID: <br /> DESCRIPTION OF WORK: oRc,t-1 � <br /> ZO.�tI�i 1G I�.EVIEW BY: DATE APPROVED: I I� Zto• o z <br /> BUILDI�i tG REVIE`V BY: DATE APPROVED: � i- z.c�•�z _ <br /> FEES TO BE CHARGED: /�isc. Fees Calculated By: <br /> PERII�IIT Yes ✓ No <br /> PLAi�1 REVIEW Yes (�N SEWER CO�INECITON <br /> STATE SURCHARGE Yes No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOivING CH�CK LIST Zoning District: (�.R� 1� . <br /> Fire Department: Post Office: School District: � <br /> L.ot Area: Sq.ft. Acres o�l Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: I l�((`�-7 <br /> Proposed Setbacks: <br /> Front (�e): 2 Z•�l � Right Side: 9 S � �' <br /> Rear(Street): I►2 �'—' Left Side: � Z K•t3 �= <br /> Adjacent Structures: /��c.f,�e� �Vetland: /✓/� <br /> Building Height: Def. Hgt. c�.<< Peal:Hgt. (). (� <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 0 2.ZgS� Resolution: # Resolution Date: //• Z S'`�Z <br /> Shoreland District: /v� <br /> Avg. Setback: Bluff Setback: Loc 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 /> RENLARKS (in house): <br /> 7 <br />