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- CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: s�`i 3 L H�tZtL� �vc, <br /> PID: <br /> DESCRIPTION OF WORK: t-��z'� C���-'t�Z+'�C:.�� <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REV�W BY: -;' � C�,=���-- DATE APPROVED: 5-Zz.``i 7 <br /> BUILDI�i tG REVIEW BY: 'vw„�. DAT'E APPROVED: �- Zz-� -) <br /> -----------------------------------------------� --------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No . <br /> PLAN REVIEW Yes �' No SEWER CONNEC"ITON <br /> STATE SUR�HARGE Yes ✓ No WATERCONNECTION <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: e:,2 - I C- <br /> Fire Department: �'�-�%�.'��f� Post Office: :ti�---�cS' School District: �,�.�c'��:o+�.� <br /> Lot Area: Sq.ft. I�i; �t� Acres � 3� Width (�U' Depth � y �• � `� <br /> Survey Submitted: Yes '� No Date of Survey: Z.-� - y 2. <br /> Proposed Setbacks: <br /> Front (L�c): . ��i � �' Right Side: bb� � <br /> Rear (SEfeet): .3�� i Left Side: �c�•� � ` <br /> Adjacent Structures: i�r Wetland: N �0�1 <br /> Building Height: Def. Hgt. C�K Peak Hgt. � �K <br /> Lot Coverage: l 3•� `�= <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> � <br /> � Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: ��C 5 <br /> Avg. Setback: >v i fk Bluff Setback: /v �,ra Lot Covenge: �_� �`�� <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250`500' , 7. 3� � z ( _ 1 c <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARIKS (in house): <br /> • 26 <br />