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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE N Y <br /> ADDRESS OR LEGAL: � `� �`� ���j (C'S f��,,CJ C"� <br /> PID: 3'�� - ' - '� ; C� 7`� � <br /> DESCRIPTION OF WORK i = � ,- ,. � � z v` �k�� ��- <br /> �,j li.. j L�t,���'�l�t�- <br /> ZONING REVIEW BY.• ✓ �''ti`�"'' DATEAPPROi�ED: `' 2 P <br /> BUILDING�tEi�IEWBY.• ��' <br /> � DATEAPPROT�ED:z -Z,N _d� <br /> FEES TO BE CHARGED: Misc. Fees Calc l dau et By: � /�� ' <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes-� No SEWER CONNECTION X <br /> STATE SURCHARGE Yes�— No WATER CONIVECTIDN �)C <br /> INVESTIGATION FEE Yes No PARK FEE �_ <br /> SAC Yes ,% No SITEWSPECTION <br /> Number of SAC Units �_ OTHER (spec�) <br /> ZONING CHECK LIST Zoning Dist��ict. �'/-�L�( �� � -'�� <br /> Fire Department. _L—L- • Post Office: L� � ; <br /> School District: Q�c.Z7�'.J� <br /> Lot Area.• Sq.ft. ,3 `�� Acres � ��� Width � � J Depth �a(O� '( � r <br /> Survey Submitted: Yes � No Date of Survey: �Z� D Q� ('��(s i�� n�=- <br /> Proposed Setbacks: � j- 2 3 � v `t', ;;.�2t,+t?'y <br /> Front Fbakej: � , �Q Right Side: �'7-'T'i��-� <br /> 1 � <br /> Rear(�Eree��: �� ;(p Left Side: � <(' <br /> t <br /> Adjacent Structures: q�"p1t-{�t- Wetland: ��j "� <br /> � <br /> Building Height: Def. Hgt. GC �� Peak H t. L� � � r � '�� <br /> lG S �(`���'����t i � <br /> Lot Coverage: G„ <br /> Gradin Sta A roval Date: � �"�' ��`�' �"� <br /> S� .ff PP /�'° � � <br /> BY� Council Approval Date: <br /> Septic: StaffApproval Date: By. (��� <br /> Zoning File: #,�G `Z�'��G� Resolution: # �/ Sr Resolution Date: ` Z 7 ��!� <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: �' B1uffSetback. �- LotCoverage: �- <br /> F�isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-.i00' <br /> 500-1000' <br /> Hardcover l�ariance Requi�-ed: 3 es No� Date of Council Approval.• '�- <br /> REMARKS(in Izouse): �-{����Gf�'L- /S� CZ',� ISlll��j fl.''L, �.��,' �c� � <br /> 1>!'-��1� �—�' /'. VIl%c.�'� <br /> 7-e��� <br /> 33 <br />