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4i <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ;� C� Y�5 �'��� r�L"c<,�:z-�.�� �.z., �L� <br /> PID• �� ';l" �� -'� �1 �3 � "� c'c' C �� <br /> DESCRIPTION OF WORK: ;��,��, �t..����_,���� � <br /> �����_������___�___________���_�________�����Y��������_��______�_��������________�����_ <br /> ���������������������������� <br /> ZONING REVIEW BY: � �;,(�:.�,v.z�--� DATE APPROVED: �c -' = � `�� � <br /> BUILDING REVIEW BY: DATE APPROVED: r�' �'��—�e�; <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`�IARGE Yes y� No WATERCONNECTION <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� <br /> Fire Department: � -n,� t/�+�.E; Post Office: .��� l�l� � School District: �('��;�;v <br /> � - <br /> Lot Area: Sq.ft. �. * �}(�I1�5Acres Z-�= Width t+�?i_;z,v;h►�. Depth ���j t�,�, <br /> Survey Submitted: Yes � No Date of Survey: (�- `1 - �t t�:: <br /> Proposed Setbacks: <br /> Front (�e): v`1 - Right Side: 3 I� <br /> Rear (St�eet): i ��'� ���' Left Side: � Z�-� � �` <br /> Adjacent Structures: ti�A Wetland: �,�} <br /> Building Height: Def. Hgt. Z.-$:'� Peak Hgt. ii�.�='S <br /> Lot Coverage: (V 0(� <br /> Grading: Staff Approval Date: 1 U �� ' `'1� By: �.U . Council Approval Date: �� i�1 <br /> .�� � <br /> Septic: Staff Approval Date: �'— ' By: � <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: /v� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> A Hardcover: 0-75' <br /> ������ 75-250' <br /> � , 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> � <br /> REMARKS (in house): <br /> 26 <br />