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. . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �,� <br /> PID: . <br /> DESCRIPTIDN OF WORK j"�-U ��j� p� ��/Cl r C.�-, <br /> ZONING REVIEW BY.• DATEAPPROVED:� �2 - Q � <br /> BUILDING,REVIEW BY.• D A T E A P P R O l�E D: 3 - �.� ,p e� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ��' <br /> PERMIT Yes � No <br /> PL�4N REVIEW Yes—� �10 SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No—�� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: — 13 �� � �� <br /> Fire Department: Post O�ce: School District.• <br /> Lot Area.• Sq.ft. Acres lY1GrQ. �� K�idth Depth <br /> Survey Submitted: Yes_� No � Date of Survey.• � � <br /> Proposed Setbacks: � �D�� 3 ��`� (''�� ��' �✓('i w s 2-.� <br /> Front(�a#e}.: ��e'� �.�. <br /> Rig�{rt Side: �.� <br /> l <br /> Rear(4tr�P;1: Q � LeftSide: � � <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. _� j�- Peak Hgt. <br /> Lot Coverage:_ � � <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: 3 v�� "(�� By: i �(,— <br /> S� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District� �(�_ MCWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover I�ariance Required: Yes No Date of Council Appiroval: <br /> REMARKS(in house): <br /> 33 <br />