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CHECK OFF LIS7'FOR ISSUANCE OF PERMITS <br /> FO�OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ � L-� (r p 1 �4�;J � ;� � <br /> PID: <br /> DESCRIPTIDNOF WORK <br /> ZONING REVIEW BY.• � DATEAPPROT�ED; � ZZ ��> <br /> BUILDINGREi�IEWBY.• DATEAPPROi�ED: s -2? _,e� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No . <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEWSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: ' - � <br /> Fire Department: Post O ce: <br /> � School District: <br /> Lot Area: Sq.ft. • Acres � K�idth <br /> Depth <br /> Survey Submitted.• Yes_� No Date of Survey: � <br /> Proposed Setbacks: ;�c,,���1 <br /> Front(`�-uke): ��'1��C� I'(G%S��Side: <br /> Rear(�trae��.• __� Z' LeftSide: � <br /> Adjacent Structures: �l.� r Wetland: �G'� <br /> BuildingHeight: Def. Hgt. C7� peQkH� G1 � <br /> Lot Coverage.• <br /> Grading: Staff'Approval Date: By: Council Approval Date: <br /> Septic: StafJApproval Date: � j`� � gy. �� <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland District: ��(' MCWD Permit: <br /> Avg. Setback: BZuffSetback: <br /> Lot Coverage: <br /> Existing Pro osed <br /> Hardcover: 0-?5' p <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover I�ariance Required: Yes No <br /> Date of Council.9pproval: <br /> REAIARKS(in house): <br /> 33 <br />