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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 16Z� Qo�-�NS �o,�� I�A-✓� <br /> PID: <br /> DESCRIPTION OF WORK N�w i2cS <br /> --------------------------------- <br /> ZONING REVIEW BY.• � DATE APPROVED: /o- �,0 3 <br /> BUILDING REVIEW BY.• DATE APPROVED: � u - a -�� <br /> ----------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLANREVIE� Yes ,/� No SEWER C0IVNECTION <br /> STATE SURCHARGE Yes� No WATER COIVNECTION <br /> IN[TESTIGA7701V FEE Yes No � PARK FEE <br /> SAC Yes No �/ SITE INSPECTION <br /> Number of SAC Units c�t,E,o,T r-n.o,�.- e��..,� OTHER (specify) <br /> ------------------------------ <br /> ZONING CHECK LIST Zoning Dis�rict: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: �- 2�(-�"3 <br /> Proposed Setbac,is: <br /> Frerzt (Lcke): l`�1�� � Right Side: I 4� <br /> I�e�ar (Street): 3?�� �' Left Side: I y' <br /> Adjacent Structures: /�/ (A Wetland: I 3 d � � <br /> Building Height: Def. Hgt. 3� Peak Hgt. �i� <br /> Lot Coverage: �) •(C <br /> Grading: Staff Approval Date: (��� -03 By: Council Approval Date: — <br /> Septic: Staff Approti�al Date: /�//� By; <br /> Zoning File: # � Resolution: # — Resolution Date: <br /> Shoreland District: v�PS <br /> Avg.Setbcck: �,t,L Bluff Setback: �(� Lot Coverage: <br /> Eristing Proposed <br /> Hardcover: 0-75' c7 p <br /> 75-250' 0 2y.�� <br /> 2so-soo� J �y. � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No < Date of Council Approval: <br /> REMARKS(in hause): <br /> 32 <br />