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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 21 S�-1 (�l S� �o r�T '(�—o.4-� <br /> PID: <br /> DESCRIPTION OF WORK: Qc=�IC <br /> -------- ------------------ ---- ----------------- <br /> ZOY�TG REVIE�V BY: DATE APPROVED: �- /-�t� <br /> BUILDING REVIEW BY: DATE APPROVED: �-{- ( - �j <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _sC No <br /> PLAN REVIEW Yes � No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> -------------___------------------------------------------------------------------------------------------------- <br /> ZOlvI�TG CH�CK LIST Zoning District: C R. - l�- <br /> Fire Department: ►�Yt.����✓J Post Office: tf��Al�"(/�-'�a School District: c�S�b+v�� <br /> -r-- <br /> Lot Area: Sq.ft. i f,y'LZ,�Z 5 Acres .Z C>Z Width �S Depth � �-S • /�-� <br /> Survey Submitted: Yes�_ No Date of Survey: S•Zj -9�-- <br /> Proposed Setbacks: <br /> Fron[ (�$�e): �� � Right Side: 1 3� <br /> Rear (�r-eet): ��� Left Side: y 1 <br /> Adjacent Structures: S� � Wetland: � � A <br /> Building Height: Def. Hgt. c�� K Peal:Hgt. (`�� I� <br /> Lot Coverage: I`'�•(� <br /> Grading: Staff Approval Date: /\J � �- By: � Council Approval Date: — <br /> Septic: Staff Approval Date: /`T ( /� By: — <br /> Zoning File: # — Resolution: # — Resolu[ion Date: — <br /> Shoreland District: �-/�S <br /> Avg. Setback: /�r/µ Bluff Setback: fV/P- L.ot Coverage: � y. � <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' �— ��O <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />