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CHECK OFF LLST FOR ISSUAl�iCE OF PERMITS <br /> FOR OF�'ICE USE ONLY <br /> �,DDRESS OR LEGAI.: ��r.�7 ;��`,l�v' �`� ,l <br /> PID: G'�'- /�7 - ,� _3 �f � �� �� � <br /> DESCRIPT'ION OF WORK: �'� �= <br /> ZONING REV�W BY• C�' ��--.._ DATE APPROVED: �f-11 ��� <br /> W BY: —s'�I ; ....�a_ DATE APPROVED: �l-i( yr� <br /> BUII..DING REVIE _ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes C� ' No <br /> P�,N g��w yes ,,�-� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATF� CONNECTION <br /> INVESTIGATION FEE Yes No �-�'' PARK FEE <br /> SAC Yes No ✓' SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------- <br /> ZONI'vG CHECK LIST Zoning Districr. f�..-f fa Shoreland District : �-�S <br /> Fire Department: �_�- �>�; z-r�i>'r Post Office: ��,�--�<�,-�� <br /> School District: ��`(_z:n� � <br /> ---r—= <br /> Lot Area: Sq.ft. 'L .c:i � --� Acres �,� r Width i/:T i�Z��-/�-ti'< Depth — <br /> � No Date of Survey: ��-�� cj� <br /> Survey Submitted: Yes �_ <br /> Proposed Setbacks: , �r� - <br /> ;��,' Right Side: `= <br /> Front (I�icc): ` <br /> Rear (Street): �% S ' Left Side: � 7`� `'" <br /> Adjacent Structures: ���%tZ�� Wetland: /�'��'� <br /> BuIlding Height: Def. Hgt. N l/l Peak Hgt. — <br /> Av�. Setback: �`�� Bluff Setback: /L` �� Lot Coverage: N�� <br /> Existin� Proposed <br /> b <br /> Hardcover: 0-75' <br /> 75-250' �j.i< <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No ��- Date of Council Approval: <br /> Grading: Staff Approval Date: N (r�(�- By: Council Approval Date: <br /> Sepuc: Staff Approval Da[e: ���'� BY� <br /> Zoning File: # " Resolution: # ' Resolution Date: <br /> �tF'�iARX.S (in house): <br />