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, -.. , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �(Z�f S C l���'P�w�} L!�/v�= <br /> - PID: <br /> DESCRIPTION OF WORK: �I C w 2-�S <br /> ---------------------------------------------------- ------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 2 - 1�- �1 <br /> BUILDING REVIEW BY: � DATE APPROVED: Z- i�- o i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓' No SEWER CONr1ECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONivECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: ��2- ► � <br /> Fire Department: ►11�P v� P cA,� Post Office: yy��p� �p�i� School District: �1Z�N � <br /> T„+ erA.,; e,,.�. y_oJ�j — -- Acres `�-�$S Width 33U�`-�� Depth (,<{�( fW-e _ <br /> Survey Submitted: Yes �C No Date of Survey: Z-�Z-O i <br /> Proposed Setbacks: <br /> i <br /> Front (�e): I 9 2 ' + Right Side: ��� +' <br /> Rear (Street): 3 2� � � Left Side: l0( � � <br /> Adjacent Structures: /J /A Wetland: � �� <br /> Building Height: Def. Hgt. Z�.'1S Peak Hgt. 36� <br /> Lot Coverage: /v/� <br /> Grading: Staff Approval Date: 2 - ►b-� � By: � Council Approval Date: — <br /> Septic: Staff Approval Date: Z- �b � n � By: /rt•(3 . <br /> Zoning File: # Z6�{6 Resolution: # � ���: t= Resolution Date: /- Z 2 -�� <br /> Shoreland District: (�J� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing 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 /> REMARKS (in house): <br /> 27 <br />