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� � CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �',� 7 C;1��.�.u;�-- 'C�`r„x>�, �-�?cc,�r� � <br /> PID: <br /> DESCRIPTION OF WORK: � �� - <br /> ZO�YG REVIE`V BY: DATE APPROVED: Q$ �- � - �� <br /> BUII.,DING REVIEW BY: � DATE APPROVED: / - 5 - 5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ✓' No SEWF.R CONNECTION <br /> STATE SUR:HARG� Yes ✓ No WATERCONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOYING CHECK LIST Zoning District: �,-!/� _ <br /> Fire Department: �,�tA�Zrq.iy�, Post Office: l�rqyzq7Y� School District: (� Y�,r{T14 <br /> Lot Area: Sq.fr. .5 y Acres 23,-13� tiVidth Depth <br /> Survey Subcnitted: Yes C No Date of Survey: <br /> � <br /> Proposed Setbacks: •� j � �� �'' <br /> Front (�c�: � Right Side: � <br /> , � <br /> Rear�: ��' Left Side: � � <br /> /V " .n <br /> Adjacent Structures: Wetland: _ � l <br /> � <br /> Building Heighr. Def. Hgt. e,z :-� Peak Hgt. <br /> � I � . <br /> Lot Coveraoe: � c �' <br /> �� � � <br /> Grading: Staff Approval Date: .*�C � �. By:� Council Approval Date: <br /> Septic: Staff Approval Date: -'� By: <br /> Zoning FIle: #�;i Resolution:!f -� • Resolution Date: - `, - <br /> Shoreland Dis�ict: _ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Ezisting � Proposed <br /> i <br /> Hardcover: 0-75' � <br /> 75-250' �\, !�� � <br /> 250-500' _� � <br /> 500-1000' � <br /> �,� <br /> Hudcover Variance Required: Yes No pate of Council Approval: <br /> RENIARKS (in house): <br /> • 26 . <br />