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• ' CHECK OFF LIST FOR ISSUANCE OF PERI�IITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: Z,i'3S C qRR�+��c t_A N L <br /> PID: <br /> DESCRIPTION OF WORK: jV Cc,.� (zC S <br /> ZO�ti G REVIE`V BY: � DATE�PPRO��D: /- /Q'-a� <br /> BUII�DL�iG REV�`V BY: DATE APPROVED; i- �9 -�u <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pLAN REVIE� Yes �' No SEWER CO�TNECTION <br /> STATE SURCHARGE Yes � No `VATERCONNECI'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZO�Z�G CH�CK LIST zoning Districc: RR-16 <br /> Fire Department: (,�„v� (A�c,�: Post Office: (��, (I�� School District: ��r.onr a <br /> Lot Area: Sq.ft. Acres Z � Width �f�(�buval�. Depth — <br /> Survey Submitted: Yes_� No Date of Survey: 1- ►�� Z"`'o <br /> Proposed Setbacks: <br /> Front(�iec): S� •1 Right Side: N /,9 <br /> Rear (�s�e�t): 35`� � �' Left Side: ��.J <br /> Adjacent Structures: /�r/,A- Wetland: (l�u � � <br /> Building Height: Def. Hgt. L1.3 Peak Hgt. 3�•.3 <br /> Lot Coverage: J��� � <br /> Gradin�: Staff Approval Date: I • 1 W -uU By: �� Council Approval Date: '—' <br /> Septic: Scaff Approval Date: ( - (� -(90 By: G•P <br /> Zonin�File: # '— Resolution: # � Resolution Date: <br /> Shoreland District: Nv <br /> Avg. Setback: Bluff Setback: L,otCo��erage: <br /> Ezistmg Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�iARKS (in house): <br /> 7 <br />