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CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 33Z5 GCL�S—t�►�— (�3(�,� �� <br /> PID: <br /> DESCRIPTION OF WORK: ,� =v e� <br /> ----------------------------------------------��C%VµGv� ----------------------------------------------2-----�- <br /> ZONIIVTG REVIEW BY: � DATEAPPROVED: �• s-o <br /> BUILDING REVIEW BY: �v(�- DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes c/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes '� No WATF,RCONNECTION <br /> INVE�TIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Nurr"er of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI\G CHECK LIST Zoning District: L2-/�- <br /> Fire Department: �Nn v,.+� Post Office: W���� School District: w e5�r�t� <br /> Lot Area: Sq.ft. . 1��l Acres �l�5�� Width �U Depth 5 S�12 <br /> Survey Submitted: Yes e� No Date of Survey: 3-! �•(�� <br /> Proposed Setbacks: �� � <br /> F�rorrt (��: $7 f Right Side: '�-( <br /> t� <br /> g�a� Q ' "~ Left Side: J�-( <br /> Adjacent Structures: (� Wetland: /�I ��4- <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: ^" <br /> Gradin�: Staff Approval Date: � By: — Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> ZoninQ File: # ZS�!D Resolution: # yY�6� Resolution Date: G • 2`� op <br /> Shoreland District: y e 5 <br /> Avg. Setback: ^/ G/} Bluff Setback: �G/� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 57.9 �S�f� <br /> 75-250' '7� •4 �`f `�S <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes p� No Date of Council Appro��al: �- 2G -� <br /> REMARKS (in house): <br /> 27 <br />