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. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � j� � J����1�,+ �� /j �� <br /> PID: <br /> DESCRIPTIDNOFWORK: _ /h-Urcc�nc�/ noo/ <br /> � <br /> ZONING RET�IEW BY.• DATEAPPROTjED: � CI <br /> SUILDING IZET�IEW BY.• 4— DATEAPPROVED: 6 .�� _�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � <br /> PERMIT Yes �''' No <br /> P���E� Y�S � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> NumbeT�of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: %Z — � � <br /> Fire Department: Post Office: School District.• <br /> Lot Area: Sg.ft. • Acres Gt�idth Depth <br /> Survey Submitted: Yes ,/ No Date of Survey: �C�O O <br /> h-cw, ,�(� � - b.,� �� <br /> L'��/�r � <br /> Proposed Setbacks: `v`S� i� <br /> Front(bake�- /7/a Right Side: �0 <br /> Rear(Street): �'� `��S � ��� . <br /> _L I�eft-Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def.Hgt._ /7 h'} Peak Hgt. <br /> Lot Coverage: /�/� <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StafJApproval Date: �—s"�� gy; �— <br /> Zoning File.• # f'/� Resolution: # Resolution Date: <br /> Shoreland District: ✓ MCWD Permit: <br /> Avg. Setback: Bluff Setback.• Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-?50' <br /> 250-500' �T�'���'a'�'" /2S S <br /> 500-1000' �2� C��Y'y''� �7/�'� �S% <br /> Hardcover Variance Reguired.� Yes No Date of Council.Approval: <br /> REMARKS(in house): <br /> 33 <br />