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� <br /> • CHECK OFF LIST FOR ISSUANCE OF PER1tiiITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: / �" .> �.;<� 1< <«5� . �� �� ,:. �.. � <br /> PID: � � ��- � � i� c�,C��� <br /> DESCRIPTION OF WORK: �-� , -�- , . : ;�. /,� _ ,, <br /> � -----------------------------------------------�----(�'�_--------- <br /> ZOi�TING REVIEW BY: ,,,, DATE APPROVED. 5 7 <br /> BUII.DING REVIE`V BY: DATE APPROVED: ��: �• 5 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER COivNECTTON <br /> STATE SUR`HARG� Yes � No WATER CONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOi�tING CHECK LIST Zoning District: �.2-1/a _ <br /> Fire Department: - Post Office: �@,'�wpa,�,�alSchool District: (�(L.¢3No <br /> Lot Area: Sq.fr. y�•,�i.b8 . 3� Acres 1�Vidth � Z.Z3•b� Depth Zo-7•`�� �= <br /> Survey Submitted: Yes_� No Date of Survey: 1- � - �� <br /> Proposed Setbacks: <br /> Front (�ej: ( �S � r Right Side: l05 ' ; <br /> Rear (S��): "?S � Left Side: �o' + <br /> Adjacent Structures: 27' � Wetland: /U�� <br /> Building Height: Def. Hgt. !�1 l� Peak Hgt. — <br /> Lot Coverage: Q. k. <br /> Grading: Staff Approval Date: /�l (+A- By: — Council Approval Date: — <br /> Septic: Staff Approval Date: I t' b- 51 By: 5•� <br /> Zoni.ng File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: I�I� . <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> Ezisting Proposed <br /> (� Hardcover: 0-75' <br /> � 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�IARKS (in house): <br /> . 26 <br />