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. ', . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMTTS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: QS GRtST� ���-� C�R'�'�D: <br /> DESCRIPTION OF WORK: N Fw ��-� <br /> ZO�G REVIEW BY: w DATE APPROVED: �- Z 7- 9S' <br /> BUII..DING REVIEW BY: DATE APPROVED: � •z�- $5 <br /> ------------------------ <br /> FEES TO BE CH�iRGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAI'�1 REVIEW Yes ✓' No SEWER C01�NECTION <br /> STATE SURCHARGE Yes ✓' No wA`TER CONi�TECTION <br /> INVESTIGATION FEE Yes No � /PARK FEE <br /> SAC Yes No ✓ a� INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------- <br /> ZONIiti'G CHECK LIST Zoning District: R�-1A Shoreland District : <br /> Fire Department: ►'Y1.� Post Office: f�. �� School District: c>12.oiU'a <br /> Lot Area: Sq.ft. Acres <br /> Width IM.�b�w.�42 Depth -� <br /> Survey Submitted: Yes �_ No Date of Survey: (�-�5� °r 5 <br /> Proposed Setbacks: <br /> Front (L�e): ?2•^?°� Right Side: 1 �l0� '�' N <br /> Rear (�eet): CI°l. �/� Lefr Side: �0°� � �S� <br /> Adjacent Structures: N�14 Wetland: N�R <br /> � Building Height: Def. Hgt. �` Peak Hgt. 3Z� <br /> Avg. Setback: Bluff Set ck: Lot Coverage: <br /> Exist' Proposed <br /> Hardcover: 0-75' <br /> 75-25 ' <br /> 250- 00' <br /> 500 1000' <br /> Hardcover Varian Required: Y o Date of Co cil Approval: <br /> By: •(, •Council Approval Date: ��i� <br /> Grading: Staff Approval Date: 6• 27 -`I S � <br /> Sepcic: Staff Approval Date: BY� <br /> Zoning File: # — Resolution: # ' Resolution Da[e: -' <br /> REi�1ARKS (in house): — <br /> 26 <br />