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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � _ - FO OFFICE USE NLY <br /> ADDRESS OR LEGAL: ;J�s S /,��--i,t-�-�-� �c�I � , <br /> PID: <br /> DESCRIPTION OF WORK: (��� n o� �2c�'v����- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �0 —31 •�i 5 <br /> BUILDIl�'G REVIEW BY: DATE APPROVED: �g-3t -5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes r�- No SEWER CONNEGTION <br /> STATE SUR`NARGL Yes v No `VATERCONNECTION <br /> �f�INVESTIUA7'ION FEE I'es c/ No PARK FEE <br /> SAC Ycs No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Districr. �Z.2' � � <br /> Fire Department: Post Office: 1,��(�s��r.G School District: ��,�.� <br /> Lot Area: Sq.ft. Acres � Width 3`��- Depth 33� <br /> Survey Submitted: Yes � No Date of Survey: to- 2Z.-4 S <br />� Proposed Setba�ks: <br /> Front (L�ej: y2•7 Right Side: I �� '=' <br /> Rear (�eet): 7��� '�" Left Side: Z.`(o� � <br /> Adjacent Structures: /a-�7rt�.�� Wetland: N//1 <br /> Building Height: Def. Hgt. f�. k Peak Hgt. — <br /> Lot Coverage: C�, � <br /> Grading: Staff Approval Date: /lf �/� By: Council Approval Date: <br /> Septic: Staff Approval Date: /��/� By: <br /> Zoning File: # '25i") Resolution: !t Resolution Date: �'z3 -°t�} <br /> 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 /> REI�IARKS (in house):�_�,vp2t� srx��.�a� v.��o (�-��^-�-% <br /> 26 <br />