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_ CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3y� S =-�k.u-,q.r� <br /> C-r�-����,- <br /> PID: �— C C,� ��'E' �:-;1 <br /> DESCRIPTION OF WORK: �C7,� 2�S <br /> ZO.�tI�ti G REV�W BY: DATE APPROVED: �-i z-�Z <br /> BUILDING REV�W BY: DATE APPROVED: y . r 2 -�,z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVIIT Yes ✓' No <br /> PLAlV REVIEW Yes _� No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC Units (�/�n,✓�F�T�.�ecl� �c,,.�.- ��.P,,.�, OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: ����R <br /> Fire Department: Post Office: School Districr. <br /> Lot Area: Sq.ft. �c�,1,e�� Acres . 2.3 Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: oj-// -v Z <br /> Proposed Setbacks: <br /> Front (�e): �Z� � '� Right Side: 27.Z I <br /> Reaz (Stteet): Hy � -'= Left Side: z&.24 <br /> Adjacent Structures: N�✓� Wetland: T.!�/� <br /> Building Heialit: Def. Hgt. Z7 Peal:Hgt. 32. <br /> Lot Coverage: i,q�2 s� �� <br /> Grading: Staff Approval Date: q - �Z - 0 2 By: � Council Approval Date: — <br /> Septic: Staff Approval Date: /� l� By: <br /> Zoning File: # 0 2-Z-'av a S Resolution: # Resolution Date: �i'i Z '0 2- <br /> Shoreland District: �G 5 <br /> Avg. Setback: ,v��,� Bluff Setback: N (� L.otCoverage: ��y � z sti � <br /> Existing Proposed <br /> Hardcover: 0-75' I ti. z.� <br /> 75-250' 3 n-��' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes�_ No Date of Council Approval: ���Z-�2- <br /> REMARKS (in house): <br /> 7 <br />