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�- _. <br /> . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�Zy LAST �.A«•t, s�-��T <br /> PID: <br /> DESCRIPTION OF WORK: ���C� � <br /> ------------------------------------------------ ---------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: _I� •q -��3 <br /> BUILDING REVIEW BY: DATE APPROVED: (( -5 -��6 <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 SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L R-�!1 <br /> Fire Department: Post Office: Go�t,(��c.� School District: D(�0�O <br /> Lot Area: Sq.ft. No C/-FA�C�PAcres Width Depth <br /> Survey Submitted: Yes oc No Date of Survey: p n� ��t.L., <br /> Proposed Setbacks: <br /> Front (L-ai�e): '�{0� Right Side: 1(�0` -�- <br /> Rear (Street): 3 Z Left Side: 1 � � <br /> Adjacent Structures: N ��' Wetland: !�/ (A- <br /> Building Height: Def. Hgt. (� , (�- Peal:Hgt. �.��- <br /> Lot Coverage: Q.(� <br /> Grading: Staff Approval Date: /`� �� By: � Council Approval Date: " <br /> Septic: Staff Approval Date: /V �/1 By: — <br /> Zoning File: # Zy 0 f Resolution: # Resolution Date: �'Z g '�/� <br /> Shoreland District: �,.p h <br /> Avg. Setback: N �c�l Bluff Setback: /'���' Lot Coverage: O.(� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' b- �� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />