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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z�ti o (J c,Ecz rZ v�.r �r�21�►t� <br /> PID: <br /> DESCRIPTION OF WORK: /V E�.�! �ZCs, , <br /> ZOY�1G $EVIEW BY: DATE APPROVED: 2 •� 1- a3 <br /> BUILDI�i tG REV�`V BY: DATE APPROVED; z-i�- 03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERi1�1IT Yes ✓ No <br /> PLAi�1 REVIEW Yes ✓ No SEWER CONNECITON <br /> STATE SURCHARGE Yes _� No WATERCONNECITON <br /> INVESTIGATION FEE � Yes No v PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes �c No Date of Survey: 1- g -0 3 <br /> Proposed Setbacks: <br /> Front (�ice�: 3 00 Right S'ide: 3 O S <br /> Rear (�reec): ��.3 t Left Side: 3� ^� <br /> Adjacent Structures: ►J II+ `Vetland: 35' � <br /> Building Hei;ht: Def. Hgt. Z'-��5 Pea�:Hgt. 37 <br /> Lot Coverage: N I A <br /> Grading: Staff Approval Date: Z•27-0 3 By: � Council Approval Date: — <br /> Septic: Staff Approval Date: �-`s '�Z By: i'�• � <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: N(7 <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> EzistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): n n n .. _ n._-� - / �;� ,„„ `� <br /> (� (0/�17�'l� c�e, <br /> 7 <br />