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. ,,,, . � . <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �y 3:� C�r�..s� ��i.�i s', ��. �:i� <br /> PID: <br /> DESCRIP'I'ION OF WORK: ����.e.��� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �y DATEAPPROVED: E� -2�—`� �� <br /> BUILDING REVIEW BY: .._._ DATE APPROVED: t� �`r Y� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �' No 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 (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CI3ECK LIST Zoning District: ,r i�� (� <br /> Fire Department: (,�►vc� V'�Ki. Post Office: �,L' � .;�; School District: ;:,�4.c:c�.�� <br /> L.ot Area: Sq.ft. r�C C t�t�= Acres Width Depth <br /> \ Survey Submitted: Yes �_ No Date of Survey: �tp,; �-►1..i: <br /> Proposed Setbacks: <br /> Front (�): �b� ` r Right Side: f 2 5 � <br /> Rear (S�eeiJ: 2 3 1 ± Left Side: �Z <br /> Adjacent Structures: f�'7�4�:1�l� Wetland: TJ jA <br /> Building Height: Def. Hgt. C' �� Peak Hgt. ` <br /> Lot Coverage: /1/ �/�- <br /> Grading: Staff Approval Date: _ *� By: — Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> � . Avg. Setback: Bluff Setback: Lot Coverage: <br /> ,A�• Existing Proposed <br /> �" Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />