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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y� �/6 r �,Q <br /> PID: <br /> DESCRIPTION OF WORK: Sc�o�vA-C_- G4l�.-�l� <br /> ZO.�tI11i G REVIEW BY: DATE APPROVED: /L• 7-d � <br /> BUII.DING REVIEW BY: DATE APPROVED; � Z - � _o� <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PER�1i1IT Yes _�' No <br /> PLA1�1 REVIEW Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: /Z s <br /> Fire Department: Post Office: School District: <br /> I.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: 5-ZS-�'75 <br /> Proposed Setbacks: <br /> F�� ���Fron[(L-aiccj: !00' '-' Righ[Side: ��� i <br /> Rear (S�eet): 1 3�� '� Left Side: (00� = <br /> Adjacent Structures: N I i/a- �Vetland: /�/ ��. <br /> Building Height: Def. Hgt. /S � Peal:Hgt. 17' <br /> L.ot Coverage: N(/�- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: ^ By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y�3 <br /> Avg. Setback: �.�L Bluff Setback: /� (/�- I.ot Coverage: N /A <br /> Ezisting Proposed <br /> Hardcover: 0-75' 0 2� <br /> 75-250' o i•t 0 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />