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J <br /> > <br /> ' CHECK OFF LIST FOR ISSUAl�10E OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I(�2 u /U�2�1-'� Q.t2o w N �/-�►/> <br /> PID: <br /> DESCRIPTION OF WORK: �J U � '1 0 � <br /> ZOY�i G REVIEW BY: o DATE APPROVED: 6 -�-1-�t <br /> BUILDING REVIEW BY: DATE APPROVED: (D-`t- o t <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pl,Al�t REVIEW Yes ✓ No SEWER CONNECITON <br /> STATE SURCHARGE Yes —� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti1�i 1G CHECK LIST zoning Districc: <br /> Fire Department: Post Office: �.ON School District: �7�oM7 <br /> Lot Area: Sq.ft. �12,5 Z 5 Acres • 5 `8 Width /"7� Depth Z 5 Z� 'S � <br /> Survey Submitted: Yes �_ No Date of Survey: oN ril� <br /> Proposed Setbacks: <br /> Front (L-tticc): `l`1 Right Side: � o Z <br /> Rear (Street): I 3(o Left Side: S Z <br /> Adjacent Structures: /�-7T�c�f�F-c� Wetland: ^I i/� <br /> Buildin� HeiQ.hc: Def. Hg[. C��t� Peal:Hgt. — <br /> Lot Covera�e: — <br /> Gradin�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /�-� J <br /> Av�. Setback: Bluff Setback: Lot Coverage: <br /> Existin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REv1ARKS (in house): <br /> 7 <br />