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� � <br /> , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <{7�(� C�Z�.—C1�W��� 'r2�t L <br /> PID: <br /> DESCRIPTION OF WORK: ���y i2.�5 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONINU REVIEW BY: �Q DATE APPROVED: // - 3� - S`3 <br /> BUILDI�IG REVIEW BY: DATE APPROVED: � � • jv -��d <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �' No SEVVER CONNECTION <br /> STATE SUR`HARGL Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y,;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (�2� I(3 <br /> Fire Department: (,t�NG(i411.� Post Office: (u n�6 (�(G(� School District: ('j�Z�n!� <br /> Lot Area: Sq.ft. 2�, Z)1 Acres (,.Z2 Width �i?�e�ch-2- Depth — <br /> T— <br /> Survey Submitted: Yes�D _ No Date of Survey: /( -1(0 -�t� <br /> Proposed Setba�ks: <br /> Front (L-aic�): _ ((�U.'S Right Side: (��Q r �' <br /> Rear (St-�ei�: 2.t�O.'b Left Side: Sp� + <br /> i � <br /> Adjacent Structures: N�� Wetland: 5 25 <br /> Building Height: Def. Hgt. Z7 Peak Hgt. 3� <br /> Lot Coverage: /V�A <br /> Grading: Staff Approval Date: (2' 1' �} Y� By:��• Council Approval Date: —' <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # �— Resolution: # — Resolution Date: — <br /> Shoreland Dist_-ict: NI'� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> J <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardco��er Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />