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CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: I 0(�� N . �3R.C�w�l RA� <br /> PID: �� �/; N �Z � <br /> DESCRIPTION OF WORK: (��p c n on�5 (�1�14 5 c� '� <br /> ---------------------------------------- ------------------------------------------------------------------------------ <br /> ZONING REVIE`V BY: DATE APPROVED: � -S� <br /> BUILDING REVIE`V BY: DATE APPROVED: �'-�- �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SE`VER CO��ECTION <br /> STATE SUR`I-�ARGL Yes r/ No WATER CO�INECTION <br /> INVESTIGA'I'ION �EE 1'es No PARK FEE <br /> SAC Y;,s No SITEI�'SPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L2-�� <br /> Fire Department: /� Post Office: (���4-!� School District: (�i2v/�O _ <br /> Lot Area: Sq.ft. /V� C Ifi4ri1G C3 Acres Width Depth <br /> Survey Submitted: Yes ,� No Date of Survey: 3��-�-S 7 <br /> Proposed Setbacks: � , ,� <br /> Front (L-a�e�: _ 1 6 �= Right Side: `�0 � <br /> Rear (Seeee�t): ZSS�f Left Side: / O`1 � � <br /> Adjacen[ Structures: /����1-/t=�J Wetland: N�� <br /> Building Height: Def. Hgt. C7 .(L Peak Hgt. V•(� <br /> Lot Coverage: m -(� <br /> Grading: Staff Approval Date: /V�� By: Council Approval Date: <br /> Septic: Staff Approval Date: /��/� By� <br /> Zoning File: # ^ Resolution: # — Resolution Date: — <br /> Shoreland Dist:�ict: /V D <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> Existin� Proposed <br /> � <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />