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� � <br /> �� L i_i C! ��� �� - �X 4-.`"Yl{f 4�2r�2� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: q 2 C� I='��-�.sT �42vNs L.AN� <br /> PID: <br /> DESCRIPTION OF WORK: (-�-r-t�v,c,t�-`,p �o A21a � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: g- 2.�• �D <br /> BUILDING REVIEW BY: DATE APPROVED: � - Z3-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L(Z- ((3 <br /> Fire Department: yV��v N�j Post Office: yVl,p v,N�p School District: �t:3 i�N k� <br /> Lot Area: Sq.ft._�-a f�-�,5�Acres r �l�{ Width ((05 Av�2 Depth ( ( 7•��5� �-�t� <br /> Survey Submitted: Yes�,_, No Date of Survey: 3 -1!3 - 7? <br /> Proposed Setbacks: <br /> Front (�c): �'-(� } Right Side: 3S � � <br /> Rear (Strc�tj: W 2� + Left Side: �l`�� �= <br /> Adjacent Structures: r4Z'TY�c.tFc,� Wetland: /V//4' <br /> Building Height: Def. Hgt. 6-t<- Peak Hgt. — <br /> Lot Coverage: J!-}.�( `rfo <br /> Grading: Staff Approval Date: /`�r� By: — Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # � Resolution: # — Resolution Date: <br /> Shoreland District: v�PS <br /> Avg. Setback. tv�f'�- Bluff Setback: /�1►/� L.ot Coverage: /4j.�f <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' Z.2.43�i Z`'�•�� <br /> Hardcover Variance Required: Yes No oL Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />