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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: G' �� ',C�C-� ` '�.� /�'�.- <br /> PID: <br /> DESCRIPTION OF WORK: ;q r;���c:,-`�'� G A�2�4��c <br /> ZONING RE'VIE`V BY: DATE APPROVED: 6- 3-�►Y� <br /> BUII.,DING REV�W BY: DATE APPROVED: G � 3-9,� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes t/� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`HARG� Yes � No WATER CONNECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: 2- t�A . <br /> Fire Department: W�i2h�J4- Post Office: W Arsr-Lv1�� School District: O f1.6�1a <br /> Lot Area: Sq.fr. 2°1 ��31 Acres •6� �Vid[h 1i'Ll'�yv� Depth <br /> Survey Submitted: Yes�_ No Date of Survey: 2-1�3 �S�o <br /> Proposed Setbacks: <br /> Front �ake): 1�'1� ``— Right Side: I p� <br /> Rear (Strcet): 7 5 � '�' Left Side: l Z Z � <br /> Adjacen[Suuctures: /�T`C�iO►c(-E�`� Wetland: �/(� <br /> Building Height: Def. Hgt. �• (�- Peak Hgt. — <br /> Lot Coverage: �� �o <br /> Grading: Staff Approval Date: --' By: Council Approval Date: <br /> Septic: Staff Approval Date: —" By: <br /> Zoning File: # -� Resolution: # Resolution Date: <br /> Shoreland Dis�ict: Nv . <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�ZARBS (in house): — <br /> • 26 . <br />