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e <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY, <br /> ADDRESS OR LEGAL: ; !f - :: - . � ;' . <br /> PID: �j - � 1 r � y <br /> DESCRIPTION OF WORK: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: �z - i o • 9$ <br /> BUILDING REVIEW BY: DATE APPROVED: Z- �o• 5$ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes c/' No SEWER CONNECTION <br /> STATE SUR�HARGL Yes � No WATERCONNECTION <br /> INVESTIGAI'ION FEE I'es No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> =----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L/?-/A <br /> Fire Department: ,���(� (�(G� Post Office: ry�,q�pc,G Pc.4 iN School District: p(1oN c� <br /> Lot Area: Sq.ft. /tf� C< cres — Width — Depth — <br /> Survey Submitted: Yes_ L No Date of Survey: ons N=� � <br /> Proposed Setbacks: , � <br /> Front (L'ai�e): _ 1 25 Right Side: l5� a' <br /> Rear (S�eet): $� � Left Side: f �!� � {' <br /> Adjacent Structures: �Q7'7'�C HE� Wetland: /t!/A <br /> Building Height: Def. Hgt. (�./G Peak Hgt. — <br /> Lot Coverage: O. �L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approvai Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> �' Shoreland Dist=ict: _ <br /> �� Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />