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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '7 7_3� � ���E.�.�,� fC��r ��� <br /> PID: S�� �- �'/,�' _� 3 i/ �a /� <br /> DESCRIPTION OF WORK: `L rz�.�-�.�-,�.,� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �, �' ��,�.a.;� DATE APPROVED: 4 -Zz-y 7 <br /> BUILDING REVIEW BY: -• ,� DATE APPROVED: �{ -zz-5 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes X No <br /> PLAN REVIEW Yes -aC No SEWER CONNECTION <br /> STATE SUR`HARG� Yes ,,�. No WATER CONNECT`ION <br /> INVESTIGA'I'ION-FEE Yes No ;� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �2R-i(� <br /> Fire Department: ��A.�,z{-•r►� Post Office: ���y�.� School District: w+�z.�°r►'� <br /> Lot Area: Sq.ft. �'U� �=r-���l:Acres — Width — Depth —' <br /> Survey Submitted: Yes X No Date of Survey: '�-i`i -`i 'Z <br /> Proposed Setbacks: <br /> Front (-�cej: �i�%� � Right Side: i � Z' ''� <br /> Rear (St�eet�� 2�� ' *� Left Side: �`10' �= <br /> Adjacent Structures: ,Qr-�-v{c;eti�� Wetland: ,�i i p� <br /> Building Height: Def. Hgt. CU � Peak Hgt. —� <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: #{ Resolution: �# Resolution Date: <br /> Shoreland Dist:ict: <br /> rj.�' Avg. Setback: Bluff Setback: I.otCoverage: <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 /> 1�EMARKS (in house): <br /> � 26 <br />