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� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i y 1 s C t-�c.s�tij ,�s--�-� � <br /> PID: <br /> DESCRIPTION OF WORK: /�-DDi nv�—�► <br /> ZO.�tI�i IG REV�W BY: DATE APPROVED: � ��-Q 3 <br /> BUII..DP1G REVIE`V BY: DATE APPROVED: 6 -s -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER.II�IIT Yes �/' No <br /> PLAl�t REVIEW Yes 1� No SEWER CO�INECITON <br /> STATE SURCHARGE Yes ✓� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No N PARK FEE <br /> SAC Yes No ✓ SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes >C No Date of Survey: i�i �a7 <br /> Proposed Setbacks: , <br /> Front (L�ke): (��t` � Right Side: �7 ' � _ <br /> Rear (Street): �5� � Left Side: 14{� t <br /> Adjacent Structures: 2�� � (o,all,a�cxc �Vetland: �/A <br /> Building Hei?ht: Def. Hgt. � •I� Peal:Hgt. <br /> Lot Coverage: ��_'� <br /> Grading: Staff Approval Date: �— By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: U-�5 <br /> Avg. Setback: w�1 Bluff Setback: N� Loc Coverage: I 2. � <br /> Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' Zi N� Z�. '2' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />