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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS G�l6N GT PcA c.c..�' <br /> PID: <br /> DESCRIP'I'ION OF WORK: l�rJ t� � �n o N <br /> ZONING REVIEW BY: _ DATE APPROVED: g - (�-�i 7 <br /> BUII�DING REVIEW BY: � DATE APPROVED: � -(o- ri 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes � No SEWER CONNECITON <br /> STATE SUR`HA�G� Yes �/ No WATER CONNECTTON <br /> INVESTIGAZ'ION-F'EE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> �ONING CHECK LIST zoning District: Q2- I(3 <br /> Fire Department: � ru= Post O�ce: (�f X-� School District: G/�/v0 <br /> Lot Azea: Sq.ft. 3`1�0(0 3 Acres • � � Wid[h Z 2(�!�? v4 Jf Depth 1 5 Y <br /> Survey Submitted: Yes 0� No Date of Survey: 8— °�7 <br /> Proposed Setbacks: � � � <br /> Front (L��ee): —j 1 Right Side: 6 3 '}' /V <br /> Rear (Stfaet): (03� �= Left Side: � 17 �� S <br /> Adjacent Structures: 14TT�U�t� Wetland: l��/�}- <br /> Building Height: Def. Hgt. C9•k Peak Hgt. C�+�� <br /> Lot Coverage: (�•�� <br /> Grading: Staff Approval Date: ('.�L By:��.. Council Approval Date: "' <br /> Septic: Staff Approval Date: N l�- By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> �,� • Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMA,RKS (in house): <br /> • 26 <br />