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CHECK OFF' LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 3`15 FErz►�✓J�qLL„ �Zo,4� 1'�c�(Zil-� <br /> PID: <br /> DESCRIPTION OF WORK: ���� <br /> ZO�1Ti 1G REV�W BY: DATE APPROVED: 9 -18�a� <br /> BUILD�tG REVIE`V BY: DATE APPROVED: g-1�-v r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAl�1 REVIEW Yes �/' No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: 1�2- �(� <br /> Fire Department: v.r qyz,�-r,q Post Office: w,.�y-„4- � School District: w�}•f-��;ya. <br /> Lot Area: Sq.ft. y Z,v oo Acres . 9 ro Width j �-1 U Depth �(�O <br /> Survey Submitted: Yes �c No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (�e): 5( Righ[Side: S� <br /> Rear (St�eet): L 3�-f Left Side: $a•V <br /> Adjacent Structures: p-r-r���.�-�.� Wetland: �SD � �" <br /> Building Hei;ht: Def. Hgt. /�! ��3- Peal:Hgt. �///►- <br /> Lot Coverage: C9,(L <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: !# `— Resolution: # Resolution Date: <br /> Shoreland District: N� <br /> Avg. Setback: Bluff Setback: L.otCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />