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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1°l�0 C oN GO R 1' I � ST{LE,�T <br /> PID: t43—��1- Z� 1y �o�c� <br /> DESCRIPTION OF WORK: IV E W CZE S <br /> ZONING REVIEW BY: „` DATE APPROVED: -7- Z�i-5� <br /> BUII.DING REVIEW BY: DATE APPROVED: 7_Z5-9 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes _� No SEWER CONNECTION <br /> STATE SUR`HARG�� Yes v No WATER CONNECITON <br /> INVESTIGAT'ION-�EE Yes No PARK FEE <br /> SAC Yes _� No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONII�TG CHECK LIST Zoning District: C,2-l�. <br /> Fire Department: ►ht ou�v� Post Office: U1/�y 7�q�-v� School District: 4,a E 5Tp n�Krq <br /> Lot Area: Sq.ft. ?_S,��S Acres .S y Width _�(L�t.G�6c1(A2 Depth <br /> Survey Submitted: Yes�_ No Date of Survey: _�1`{-5`7 <br /> Proposed Setbacks: <br /> Front (ba�: �3� Right Side: (� <br /> 5?/k,'�T y�}20 <br /> Rear(S�r•eet): N�14 L-cft-Sride: ?� <br /> Adjacent Structures: /V(f�_ Wetland: /l/ (A <br /> Building Height: Def. Hgt. 2� •S Peak Hgt. 3c� <br /> Lot Coverage: (�- lL <br /> Grading: Staff Approval Date: 1-3 i �1 By: � Council Approval Date: ^� �/'� <br /> Septic: Staff Approval Date: N ( �'-�- By: <br /> Zoning File: # Z L?� . Resolution: # ��L�3 Resolution Date: 3�`�-`�7 <br /> Shoreland Dis�ict: �p5 <br /> Avg. Setback. v A-2�;Rrt c� Bluff Setback: N �/� I.ot Coverage: c> K- <br /> � Ezisting Proposed <br /> Hardcover: 0-75' �' � <br /> 75-250' c� � t�I.�`''Io � <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />