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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 9 5 S }-1�---�z�-�G c= p 2��r-� <br /> PID: <br /> DESCRIPTION OF WORK: N C�,.S S�' . o� — � �►.�� � <br /> ZO.�i G $EVIEW BY: DATE APPROVED: <br /> BUII.D�1G REVIE`V BY: � DATE APPROVID; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1tiiIT Yes ✓� No <br /> PLAN REVIEW Yes � No SEWER C0�INECI'ION <br /> STATE SURCHARGE Yes �i � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: L 2-I/} <br /> Fire Departmenr. Post Office: School District: � <br /> Lot Area: Sq.ft. Acres r, 08�$ Width �R-�2�'b�c�tlC Depth <br />' Surve Submitted: Yes ✓ No Date of Survey: �Z�Z -�2 <br /> Y <br /> Proposed Setbacks: <br /> Front (L,a�ej: 57 Right Side: 9 6� <br /> Rear(�t): �e p Left Side: 32•b <br /> Adjacent Structures: —" Wedand: 7 Z� ` <br /> Building Height: Def. Hgt. Z(o Peal:Hgt. 3Z.S <br /> Lot Coverage: <br /> Grading: Staff Approval Date: — N'�C. By: Council Approval Date: — <br /> Septic: Staff Approval Date: 5 e� -e�. By: — <br /> Zoning File: # G 2• Z 9 6� Resolution: # Resolution Date: /- 2�- 0 3 <br /> Shoreland District: <br /> Avg. Setback: iv( Bluff Setback: /t/�c/� L.ot Coverage: � <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No O� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />