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CHECK OFF LIST FOR ISSUANCE OF PERitiIITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ► b 43� Lor�1 C o�z�i✓� s r <br /> PID: <br /> DESCRIPI'ION OF WORK: N ��S t2�.-5 � <br /> ZONING REVIE`Y BY: DATE APPROVED: � -2(� �o <br /> BUII.DIYG REVIEtiV BY: DATEAPPROVID: 6-Z� -�a <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No ; <br /> PLAN REVIEW Yes ,� No SEWER CO�INECI'ION <br /> STATE SURCHARGE Yes ✓ No WATERCONNEG"TION <br /> INVESTIGATION FEE Yes No ,� PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI:�IG CH�CK LIST zaning District: C_2 -� L <br /> Fire Department: _rn t��n,,� Post Office: �/V��.� r�../) School District: l.� 5�7�' _ <br /> I,ot Area: Sq.ft. 1�-I, 3 �3 Acres . 33 Widch SD Depth Z�b-�b <br /> Survev Submitted: Yes_� No Date of Survey: �i-lu�C�o <br /> Proposed Setbacks: <br /> Front (La.ke): SD� Righ[Side: t 0 � <br /> Rear (Street): l 1(7 Left Side: �n� <br /> Adjacent Structures: Cj 5 Wetland: N �✓}' . <br /> r <br /> Buildin� Height: Def. Hjt. Z6� Peal:Hgt. 3v•5 <br /> Lot Covera�e: I S°�(o <br /> Grading: Scaff Approval Date: �vo Gtfi4�vc,� By: — Council Approval Date: �'�2-��d <br /> Septic: Staff Approval Date: (�( �� By: -- <br /> Zonin; File: # ZS�1 Resolution: # `-�H 7 Z Resolution Date: (, - �2-. d� <br /> Shoreland District: vpS <br /> Av�. Setback: (�,lL- Bluff Setback: /v J V's I.oc Covera�e: 15`'?a <br /> Ezisting Proposed <br /> Hardcover: 0-75' 2(0 ,3 Z�' <br /> 75-250' Z�'� ��'2 <br /> 250-500' l 2•i <br /> 500-1000' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: d • �� ��J <br /> RE�IARKS (in house): 1�30`s �5��ns e� � <br /> 7 <br />