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�. <br /> f , � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: %�' �ic/'�'� '� ��, PID: i;; -f/.�-_,7� �%� �����Y <br /> DESCRIPTION OF WORK: � � �—�- �'NLcl� <br /> ----------------------------- — ---------------------------------------------:----_�_________ <br /> ZONING REVIEW BY: � r ,, �.r _ DATE APPROVED• �{ �Z-�15 <br /> BUII�DING REVIEW BY: DATE APPROVED: �(-�2-�s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes f/ No WATER CONNECTTON <br /> INVESTIGATION PEE Yes No �— PARK FEE <br /> SAC Yes No � STTE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------- <br /> ZONING CHECK LIST Zoning District: (Z-((3 Shoreland District : �(/8 <br /> Fire Department: � �� Post Office: .v C School District: C���,o <br /> Lot Area: Sq.ft. 2.I� C��{S Acres , yY Width `3 7� Depth Z(1� <br /> Survey Submitted: Yes D� No Date of Survey: //-�Z- S� <br /> Proposed Setbacks: <br /> Front (�ke): N//} Right Side: v��' 4�1 <br /> Rear (SEFeet): ��� ��' Left Side: �(S��' <br /> Adjacent Structures: ,4mqci�c:'n Wetland: N//} <br /> Building Height: Def. Hgt. �.�- Peak Hgt. b.k <br /> Avg. Setback: N//�' Bluff Setback: il///�- Lot Coverage: (a�� "`—' <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' �/� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No OC Date of Council Approval: <br /> Grading: Staff Approval Date: /1///-� By: Council Approval Date: <br /> Septic: Staff Approval Date: /1! //� By: <br /> Zoning File: 1# � Resolution: # Resolution Date: � <br /> REMARKS (in house): <br /> 26 <br />