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. <br /> ' C�Cg OF'F LIST FOR �SS ONL OF PERMITS <br /> ° FOR OFFICE U <br /> .� �� /`�"��"� PID: ,� C _ r,�I - .� 3 ;; _i c��, �yi <br /> � ADDRESSORLEGAI-: ��"�� '���z "' . �/-� � <br /> i . h,� '.'�'�G L..� � -L!'...-i._ <br /> DESCRIPTION OF `VORK: <br /> ZO�iG REVIEtiV BY: � 1�-- DATE APPROVID: S- � — 55' <br /> BUII.D�tG REVIE�V BY: DATE APPROVID: 5 -5 -�s' _ <br /> FEES TO BE CH.�RGED: <br /> Misc. Fees Calculated By: <br /> PERl�1IT Yes � No <br /> PLAi�1 REVIEtiV Yes � No SEWER COI�NECTIOi�' <br /> c�- No WATER CONNECTION <br /> STATE SURCHARGE Z'eS No �. p�K FEE <br /> INVESTIG�TION FEE Z'eS No � S� �SPECTION <br /> SAC Yes <br /> OTHER (specify) <br /> Number of S�C Units __. _ _ __ <br /> ----------------- <br /> _�r <br /> ZONING CHECK LIST Zonin�District: G�- ' � <br /> Shoreland District : <br /> ost Office• h o/j b�ist�'c� <br /> Fire Departmenc: �//�, <br /> L__� <br /> Lot Area: Sq.ft. <br /> cres � dth Depch <br /> Survey Submitted: Yes �D _ <br /> No Date of Survey: plV r'��-e <br /> Proposed Setbacks: � .r Riaht Side: (S � ` <br /> F�e�t (Lake): ►3 a � <br /> � (Stre�s): �d� r Left Side: W�� � <br /> Adjacent Structures: �1�77�`� Wetland: it///1 <br /> ' Building Height: Def. Hgt. Pe <br /> Avg. Setback: <br /> B Setb k: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' 25�fo <br /> 75-250' S � <br /> 250-500' <br /> 500-1000' ---- <br /> Date of Council Approval: �_ <br /> Hardcover Variance Required: Yes No �C_ � <br /> Grading: Staff App <br /> roval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: By� <br /> o File: � _ Resolution: n —' Resolution Date: <br /> Zoni.n� <br /> �tiiA.RKS (in house): _ <br /> 26 <br /> ,— � <br /> . <br />