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CHECb OFF LLST FOR ISSUAi�iCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEGAI.: l c�s� C3c��-t�cs Po t►v� <br /> PID: <br /> DESCRIPTION OF WORK: '(�ou< Au�u+ <br /> ------------- ---- <br /> ZO�tING REVIE`Y BY: � (Q�-_ DATE APPROVED: r�-i��5 S <br /> BLTII..DI'�i 1G REVIE�� BY: DATE APPROVFI): �o -�9 -S s <br /> - ----------------------- <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIv1IT Yes � No <br /> PLr�'v REVIE� Yes � No SEWER CONIVECITON <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVEST`IGATION FEE Yes No �- PARK FEE <br /> SAC Yes No �'- SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- � <br /> ZOYIlVG CHECK LIST Zonin District: L2-13 Shoreland District : YL S <br /> Fire Department: st Office;/� S o strict: <br /> � <br /> � � <br /> Lot Area: Sq.ft. Acres `"� id Depch <br /> Survey Submitted: Yes x No Date of Survey: Z-3-4 5 <br /> Proposed Setbacks: � <br /> �_��e). v Right Side: � <br /> Rcar (Street): SUO��= L.efr Side: 3� + <br /> Adjacen[ Struccures: /HD � '� Wetland: N/�4 <br /> Building Height: Def. Hgt. �Y ,' ,! '� Peak Hgt. <br /> ' � ; �. <br /> Av�. Setback: v�lu�f S��back: Lot Coverage: <br /> Exis[ino Proposed <br /> � <br /> Hardcover: �-�5' �z� 5 <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes � �o Date of Council Approval: �-i�- `� -�� <br /> Grading: Staff Approval Date: �- By: Council Approval Date: <br /> Septic: Staff Approval Date: � By= <br /> Zoning File: # ��2 Resoluuon: � <br /> Resolution Date: ��'`�� �5 <br /> RE.'�ZARI�.S (in h0use): <br />