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� <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 3ii: �i� _z��iL� <br /> PID: <br /> DESCRIP"TIOl�T OF WORK: CJ I��"a�N <br /> ---------------------------------------- - ----------------------------------------- <br /> ZONING REV�W BY: � � ..` <br /> DATE A.PPROVED: � -2.,u —�i 4, <br /> BUILDING REV�W BY: — �,�,,�- DATE APPROVED: a'� � -�; <;� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes J' No <br /> PLAN REVIEW Yes i/ No SEWER CONNECTION <br /> STATE SUR�HARGL Yes �/ No WATERCONNECTION <br /> INVESTIGAZ'ION FEE I'es No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z0�1Ii�TG CHECK LIST Zonin� District: (�5 <br /> Fire Department: ���-i,:i Post Office: �z;,,�r-Q School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setba�ks: <br /> F.Fent (Lal:e): _ f��� Right Side: 2�.1 <br /> R�ear (Street): �tY�' Left Side: sy � <br /> Adjacent Structures: _3� Wetland: /v�� " <br /> Building Height: Def. Hg[. CU� k— Peak Hgt. — <br /> I,ot Coverage: (�� � <br /> Grading: Sta2f Approval Date: rt� r f� By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin� File: n 2.3�„� Resolution: # �fi 1 J�f Resolution Date: '1-�3 ti ir� <br /> Shoreland Dist=ict: _�'e'S <br /> Avg. Setback: �_ �L Bluff Setback: N(/� L,ot Covera�e: v -lC <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 /> • 26 <br />