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. ? • � � <br /> CHECK OFF LIST FOR ISSUANCE OF PERiV1ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�g o c.b,�c��,✓a sr <br /> PID: <br /> DESCRIPTION OF WORK: Q�.�k <br /> Z0�1ING REVIEW BY: DATE APPROVED: s- z� -o� <br /> BUILDING REVIEW BY: DATE APPROVED: �--�-a 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> pLAN REVIEW Yes �' No SEWER CONNEC"TION <br /> STATE SURCHARGE Yes �� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECK LIST zoning Districr. <br /> Fire Department: Post Office: School District: <br /> Lo[Area: Sq.ft. �Io,5��6 Acres •�3 Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: o•.� r�c.c� 9�-�-gg! <br /> Proposed Setbacks: � <br /> Front (L-Riccj: �`�5 � Right Side: i"1' <br /> Rear (&�eet): � 5 Z Left Side: 7�' <br /> Adjacent Structures: ,4-rT�uf Wetland: N/� <br /> Buildin�Hei�ht: Def. Hgt. — Peal:Hgt. — <br /> Lot Covera?e: �•t� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: . <br /> Shoreland District: v-e 5 <br /> Av�. Setback: �r�� Bluff Setback: �✓l!a- LotCoverage: — <br /> Existin� Proposed <br /> b <br /> Hardcover: 0-75' 'A <br /> 7�-2�0' 8' V� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> gEMA12KS (in house): <br /> 7 <br />