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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 y�3 CR�(s�T�q L P��AC.E <br /> PID: • <br /> DESCRIPTION OF WORK r'J c T. �A 2��c: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: cS - 5 -�2 <br /> BUILDINGREVIEWBY.• DATE APPROVED: G •�- �z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLANREVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. t �f 3 g Z Acres ,�3 Width (pD Depth i 3 3.0 Z /�u� <br /> Survey Submitted: Yes x No Date of Survey: �(-21- OZ. <br /> Proposed Setbacks: <br /> Front (�a�e): `j7� (J Right Side: `i 3 C <br /> Rear (SFreet): �i7 S Left Side: 30' � <br /> Adjacent Structures: !�-{� Wetland: rl1//� <br /> Building Height: Def. Hgt. c�.(� Peak Hgt. C�.�c. <br /> HOVSp �y� <br /> Lot Coverage: l I°�o �� �r.�6 <br /> �Y�d ; �3�3�2 = 11�� <br /> Grading: Staff Approval Date: (� •5 - �2 By: �'a . Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: {f Resolution Date: <br /> Shoreland District: N� <br /> Avg.Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 1 f o <br /> Hardcover Variance Required: Yes No_ �� Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />