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, ' CHECK OFF LIST FOR TSSUANCE OF PERII�ITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ z z l��Ckc3ER�� . �-�1 l.� ' . <br /> PID: <br /> DESCRIP'X'ION OF WORK: _ � b p i T- l o N � <br /> ZONING REVIEti'V BY: � DA'I'E APPROVED: �} - ((-�Q, � <br /> BUII..DPi tG REVI�ti'Y BY: � DATE APPROVED: S�-(�-9� <br /> FEES TO BE CHARGED: - � Misc. Fees Calculated By; ~� N __ <br /> PERMIT Yes �' No . <br /> PLAN REVIEW Yes � No SEWF...R CONNECTION <br /> STATE SUR`H�Gr Yes � No �IA1�R CO�INECITON <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> ------------ ------ ---- <br /> ZONIlYG CAECK LIST zoning Disc�i�c: 2- 13 � <br /> Fire Department: (�N C� (AIC-N. Post OfFice: (�� (,q�.�t.� School District: O RON O � <br /> I.ot Area: Sq.ft. .4 Acres_ I�<<{60 �Vidth 97 Depch � (�Q <br /> Survey Submitted: Yes�c No Date of Snrvey: I Z- S- S"� <br /> Proposed Setbacks: <br /> Front (La.tie): . 6�$� +' Right Side: 2�( . Z <br /> Rear(Street): 9 I� -F-.�. Left Side: 3 I� t <br /> Adjacent Structures: A.?�-�q��l-l-v-b �Vetland: /V f�9 <br /> Building Height: Def. Hgt. 0•��- Peak Hgt. O. I� <br /> Lot Coverage• 1y �° '�' <br /> GradinJ: Staff Approval Date: _ /t///�- $y; — Council Approval Date: — <br /> Septic: Staff Approval Date: /� //-1 gy; -- � . <br /> Zonino File: # — Resolution: # — Resolution Date:� — � <br /> Shoreland Dis�ict: N o <br /> Avg. Setback: Bluff Setback: Lot Coverage: � <br /> ' ' Ezisting Proposed � <br /> Hardcover: 0-75' <br /> 75-250' . . - - <br /> 250-500' - • <br /> SQO-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> � <br /> REI�ZARKS ('in house): <br /> � _ <br /> ' �'' 26 <br /> , ��:� . . <br />