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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> .-�DDRESS OR LEGAL: M,y�S��'.��, %?,,r ;�� PID: �t�- �i; � ,�' 3 �� c'r.�i::;Z <br /> DESCRIP'TIO�� OF �VORK: y��%.c,�� /t''���.-�'��`�'" `_ <br /> —, <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZON�iG REVIEW BY: ^`'� DATE APPROVED: 1 - Zo-4 5 <br /> BUILDING REVIE`V BY: DATE APPROVED: -�-25 -�� <br /> ------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW 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 /> ZONPi 1G CHECK LIST Zoning District: /L2-I g Shoreland District : <br /> Fire Department: LL Post Office: L L School District: O/�� <br /> Lot Area: Sq.ft. Acres Z•SZ �' Width 2(oc� ��P:t Depth y5 p } � <br /> Survey Submitted: Yes �c No Date of Survey: (�-��s <br /> Proposed Setbacks: <br /> Front (L-�e�: ����3� Right Side: 3�•Z� U <br /> Z SD ' � <br /> Rear (Street): �.� + Left Side: I`�� t �,.� <br /> Adjacent Structures: /��� Wetland: I 30� '�" <br /> Building Height: Def. Hgt. Z�•5 Peak Hgt. �`� � <br /> Avg. Setback: �'�Bluff Setback: � Lot �overage: <br /> � � I <br /> � �Existing � � Pro�osed <br /> Hardcover: 0-75' � <br /> 75-250' i �— <br /> ; --�-- <br /> --+ <br /> 2�0-500' --- � <br /> % ' <br /> 500-1000' i � <br /> � <br /> � <br /> Hardcover Variance Required:; es /i�10 Date of ouncit Approval: <br /> Grading: Staff Approval Date: �-�/4 � By: �{� Council Approval Date: — <br /> Septic: Staff Approval Date: BY� <br /> � 1 <br /> Zoning File: # %� Resolution: #�_� � Resolution Date: <br /> / � <br /> RE1�IARKS (in house): � <br /> , <br /> , <br /> � - <br /> 26 <br />