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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � _�-7 � �=t��:�-l�t C�� <br /> PID: <br /> DESCRIPTION OF`�ORK: ��q -z��'�ca <br /> ------------------- - - ----------------�-------;--- <br /> ZONING REV�W BY: - ,�c:SLZ�,.._- DATE APPROVED: �- �� <br /> BUII,DING REVIEW BY: R..-. .�, (� ' DATE APPROVED: <�— �-�i 4, <br /> -- � -�-- -------------------------------------------------__---_ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER COi�TNECTION <br /> STATE SUR:�IARG� Yes ✓' No `VATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y:;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO: i iG CHECK LIST Zoning Districr. �:� �I/� <br /> k;,1%� Fire Department: Post OfFice: School District: <br /> � Lot Area: Sq.ft. Acres Width Depth <br /> urvey Submitted: Yes ;� No Date of Survey: �� �=i�.c:.' c'- Z�- ;``) <br /> Proposed Setbacks: <br /> Front (L�e): _ � l;� � Right Side: �Y � t <br /> Rear (S�treet): ; y�' ' f Left Side: N'i� <br /> Adjacent Structures: Z"�j Wetland: �/H <br /> Building Height: Def. H�t. ��,/�- Peak Hgt. ' <br /> Lot Coverage: U = << <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resolution Date: <br /> ,�q.� Shoreland DisL-ict: _ <br /> � Avg. Setback: Bluff Setback: I.otCoverage: <br /> � Eziscing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> j Hardcover Variance Required: Yes No Date of Council Approval: <br /> �-- <br /> REi�ZARb'S (in house): <br /> • 26 <br />