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r <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -15 CR4 5T�11- Gtt.ct� 52�� <br /> PID: - <br /> DESCRIPTION OF WORK: 1��- C�A2��c. <br /> ZONING REY�W BY: DATE APPROVED: y-z�f� <br /> BUILDING REVIEW BY: DATE APPROVED: �- z-5�, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> pLAN REVIEW Yes ,� No SEWER 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 /> ZOi�tING CHECK LIST Zoning District: tz�Z- )(3 <br /> Fire Department: lc�: Post O�ce: �A IJ�IGt; School District: b�zo�so <br /> �J <br /> Lot Area: Sq.ft. ��]. ZZ°t Acres 2•no Width Z'i(�� Depth Z� 4•S S S AV-e <br /> Survey Submitted: Yes x No Date of Survey: (2-1 $ 9� <br /> Proposed Setbacks: , / ;� <br /> Front (L--�kc): _ 33� Right Side: �Z ?✓ �� <br /> Rear (�ee�): �3� . Left Side: �(5� 5 <br /> Adjacen[Structures: 1 g(o� Wetland: /v(f{- <br /> Building Height: Def. Hgt. C�.K Peak Hgt. '- <br /> Lot Coverage: A/�A <br /> Grading: Staff Approval Date: n} (A By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: . <br /> Avg. Setback: Bluff Setback: L.otCoverage: <br /> �.� � Ezisting 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 /> gEMARKS (in house): <br /> � 26 <br />