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, f • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `-�3G �/?�CvN' %-G�y=� �=�, <br /> PID: <br /> DESCRIPTION OF WORK: �/?�iv r F o�r��v -- -��vn;2 t u�'l U-f���:�� <br /> --------------------------------:—��-- ---- /, ----------------------------------------------------------------- <br /> ZONING REVIEW BY. �� DATE APPROVED: z -�t � �c a <br /> BUILDING REVIEW BY: ;� � r ` DATE APPROVED: z -�4 -�43 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓- No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ri" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /2�Z-(!� <br /> Fire Department: (�o�q(1�(G� Post Office: t�;�v L�(:,l_: School District: Cj f�.o N� <br /> Lot Area: Sq.ft. /UO GEfi}N�t:Acres Width Depth <br /> Survey Submitted: Yes p� No Date of Survey: oa-' �=f� <br /> Proposed Setbacks: i � <br /> Front (�e): � `t�O �`= Right Side: '�� �' <br /> Rear(S��eet): `�v�� `� Left Side: �Z„7� �_ <br /> Adjacent Structures: /}7-7K}C if t�`�'� Wetland: /1/l/� <br /> Building Height: Def. Hgt. c3�(<-- Peal:Hgt. C�.(`. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> N �. Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot 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 /> REMARKS(in house): Ti�U� '� r��u� Ku i M w3 K�� .�n�r=oM�•.� ln.,�..., m� <br /> �U1� N�2'wt�.v /L�' vi/lC� oN �D2�7cN {-p �o /Iv�cf1-c..9 �4-t— <br /> .F/1��.�, srns r� ec�'coN �� �.-Y- 4� <br /> 7 <br />