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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> = FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �t <<� �� ��,� �F`o�,�„ - I:�.n��� <br /> PID: <br /> DESCRIPTION OF WORK: r�n� ; �;c��! j1�c:w���;�c: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: - ' ��{c •�- DATE APPROVED: i ��. �� ? ; ���, <br /> BLTILDING REVIEW BY: � � , ,��,� DAT'E APPROVED: �� �; - �;�-� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes :�= No SEWER CONNECTTON <br /> STATE SUR`HARGE Yes �% No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No •%- PARK FEE <br /> SAC Yes No ,� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �..r �c. <br /> Fire Department: �'}1:� . :ti'.'� Post Office: i,v(�� ;�},�`} School District: (,�e S r��'i�-4 <br /> Lot Area: Sq.ft. L I � �� Acres =' Width Y�`f� � Depth � k-� ` -�= <br /> Survey Submitted: Yes_� No Date of Survey: �3 -� Z. `�i�, <br /> Proposed Setbacks: <br /> Front (�e): �3� = Right Side: 1�`� ` !� <br /> Rear (Street): ��� Left Side: 1 L� 7 <br /> Adjacent Structures: /'�' +, r�-� Wedand: /V �/} <br /> Building Height: Def. Hgt. �% ��— Peak Hgt. �'�- (�- <br /> Lot Coverage: � -i, � `��' <br /> Grading: Staff Approval Date: � Z � 2� `1 � By: ;���� Council Approval Date: � �—`� `i i� <br /> Septic: Staff Approval Date: r'. ��r By: '— <br /> Zoning File: # �i�;�0 Resolution: # ' Resolution Date: f�-�r ` `�cr <br /> Shoreland Dist:ict: y��'S _ <br /> Avg. Setback: .> � K'_ Bluff Setback: ti 1✓�-- LotCoverage: ��'- � <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 3 � -1 :3`� ..> <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_;� No Date of Council Approval: i 2 `i - �I(., <br /> REMARKS (in house): <br /> � 26 <br />