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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��(, �` ; ;, � �i �, .�,�� (�� �- �� - <br /> PID: �— <br /> DESCRIPTION OF WORK: _ ,( f�; , � ;��:�_:ti'-�_��t�_< �z . � _� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � -�— DATE APPROVED: /� -►�- ti c�- <br /> BUILDING REVIEW BY: � ' � � DATE APPROVED: � �- ,L � `% t. <br /> -----------------------------------------------{ ---------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �,�'� No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SUR`I�ARGE Yes � No WATER CONNECTTON <br /> INVESTIGAT'ION-FEE Yes No � PARK FEE <br /> SAC Yes No �:.� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (?�^�- I c� <br /> Fire Department: � % Post Office: (.,i;�.,`��tr School District: Z;w�+ " <br /> Lot Area: Sq.ft. ��I� Z`�i`�.`�`�cres ��"� Width �3�� �� � Depth ��1��� <br /> Survey Submitted: Yes �C_ No Date of Survey: ��?� �=ri- �t(,, <br /> Proposed Setbacks: ; y <br /> Front (L-idfe�: LZS � Right Side: 3"� � <br /> Rear (Strcet): C�� ` �'k- Left Side: ��'Y r ��= <br /> Adjacent Structures: ti��v� Wetland: �,� ;� <br /> Building Height: Def. Hgt. 2`� ` Peak Hgt. 3v � <br /> Lot Coverage: �% r��" <br /> i <br /> Grading: Staff Approval Date: 1 i ���.- `i�% By: �zi , Council Approval Date: �' ,/� <br /> Septic: Staff Approval Date: "'� By- <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> 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 /> � 26 <br />