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' CHECK OFF LIST FOR ISSUANCE OF PER1I��ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �• �-�/'����,�,�"�, �1�;� <br /> PID: <br /> DESCRIP'TION OF WORK: ��, � " �- ���:� ` ;t,� ��-� ����-c��{ � \ <br /> ------------------------------------------------- ------------------------------------------------------------------- �' '`� <br /> Z0�1ING REVIEW BY: � " l�1�� �_,� DATE APPROVED: �•Li - �i � <br /> BUILDING REVIEW BY: /,ti;;. DATE APPROVED: S� 2<< - �i E' <br /> ------------------------------------------------�-------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes r-- No WAT'ER COi�1NECTION <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: ��2-I f� <br /> Fire Department: (,,z;ts� Post Office: �,,,�y-71� ;Y� School District: �:;�Z,.u�.:r�� <br /> � l De th �`� • 7 �- <br /> Lot Area: Sq.ft. �-j,'�5 3 `=� Acres ., �( Width "� y p <br /> Survey Submitted: Yes � No Date of Survey: 3 i1-y �'- <br /> Proposed Setbacks: <br /> Front (��): Z �.� Right Side: C� '� � <br /> Rear (Street): �i�, 5 Left Side: � C; .l: S <br /> Adjacent Structures: !U" i 0� Wetland: /'� �� <br /> Building Height: Def. Hgt. c� �� Peak Hgt. — <br /> Lot Coverage: 1 `I.� <br /> Grading: Staff Approval Date: 7- L r - �i`C' By: . �� Council Approval Date: -- <br /> Septic: Staff Approval Date: IVd : r� By: <br /> Zoning File: # 235w Resolution: # Resolution Date: 3-1� �4�' <br /> Shoreland District: ��g <br /> Avg. Setback: ��� �� Bluff Setback: /Jt�� Lot Coverage: f���- <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' fv� �l`��� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: :�� �� ''�� <br /> REMARKS (in house): - <br /> 7 <br />