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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( b Zv NUfZT�-t- f3(l�w�V f2.oA�U <br /> PID: <br /> DESCRIPTION OF WORK: � ec�5 <br /> ---------------------------------------- ----------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: � �2- '� <br /> BUILDING REVIEW BY: DATE APPROVED: �-�Z -�i� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SUR`HARG� Yes � No WATERCONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: G�-�� <br /> Fire Department: (,t��r tt.v Post Office: (t9,• _(�4?C.t,.s School District: ��(�e/J O <br /> _� <br /> Lot Area: Sq.ft. �-(2�y°l O Acres • ��� Width ((��f.�� Depth Z S"G• Z 2 <br /> Survey Submitted: Yes �� No Date of Survey: "�j- 31- `t't. <br /> Proposed Setbacks: s�•Y a� <br /> Front (L�lec): N�(f� Right Side: <br /> Rear (St�eat): 1�{0� Left Side: �7 2 � �-- <br /> Adjacent Structures: l�-'TTY�Ut-E�.`�'� Wetland: /�/A- <br /> Building Height: Def. Hgt. N �� Peak Hgt. <br /> Lot Coverage: C9. SL <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Pj • Shoreland Dist:ict: _ <br /> N• Avg. Setback: Bluff Setback: LotCoverage: <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 /> �— <br /> REMARKS (in house): <br /> 26 <br />