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` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDIZESS OR LEGAL: 3v`i I FACt�f I l-:�L l�N�= <br /> PID: �r',t� _f � l - } � � � <<_�.%C '� 3/�= - <br /> DESCRIPTION OF WORK: �L� <br /> ----------------------------------------- ------- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: '1- t 5-9 f3 <br /> BUILDING REVIEW BY: DATE APPROVED: —t-�5-�g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes _L/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (Z(Z.-1� <br /> Fire Department: ��y� (A(C,� Post Office: (p�C� t�tl.L School District: �j�Ls�tO <br /> Lot Area: Sq.ft. �(o,l$S Acres 1.51 Width ��y.� Depth SZ3.3 l4�►G <br /> Survey Submitted: Yes� No Date of Survey: b •ll�-7'] <br /> Proposed Setbacks: <br /> Front (b'�: 3ZrD � Right Side: (fl0` ± <br /> Rear (S�t): !�S � Left Side: S�� � <br /> Adjacent Structures: �QTr�GN� Wetland: `V/A " <br /> Building Height: Def. Hgt. /�!�/a Peak Hgt. — <br /> Lot Coverage: �'1�° '� <br /> Gradin�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: N O <br /> �.�• Avg. Setback: Bluff Setback: L.ot Coverage: �f`�° � <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 /> 7 <br />