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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A�DRESS OR LEGAL: ��03 C A 5 c.o A v c <br /> . 'PID: <br /> DESCRIPTION OF WORK: /4 D/J� n e,•� 7- .Dz:zf� <br /> ZO.�tI�1i G REVIEW BY: DATEAPPROVED: /�-iQ-4� <br /> BUILD�IG REVIEW BY: DATE APPROVED; /�-�� -47 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PL?.N REVIEW Yes '� No SEWER COi�TNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: 2 S y o Post Office: School District: � <br /> Lot Area: Sq.ft. °7a�7 9 a Acres Width Depch <br /> Survey Submitted: Yes� No Date of Survey: '� �3 <br /> Proposed Setbacks: <br /> . Front (bakc): S� � Right Side: G � � -- (,�w (,�crPc ✓Jeu� i� Ne•v ��c.�,o,�c�,� <br /> Rear(St�eet): �7.�' � Left Side: Zg � <br /> Adjacent Structures: /;�U-�c.M �Vetland: N �� <br /> Building Height: Def. Hgt. (� .�L Peal:Hgt. <br /> L,ot Coverage: CU •1� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: �# — Resolution: # Resolution Date: <br /> Shoreland Disuict: Y� <br /> Avg. Setback: �1/a. Bluff Setback: �!1�- L.ot Coverage: <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' o.k <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />