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. } ' • CHECK OFF LIST FOR ISSUANCE OF PERiIiLITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ �I I�y i-{i���w o o�J. r�-Od-},� � <br /> PID: <br /> DES CRIPTION OF VVORK: _ p� r—�c�-c-c-O C��}i�A�c, <br /> ZONING REVIE'4� BY: � DATE APPROVED: �-z-�g � <br /> BUII.,DIYG RE V I E�'V BY: DA1E APPROVED: � :Z-z,;. <br /> �'EES TO BE CHARGED: � � � Misc. Fees Calculated By: ~� <br /> PERMIT Yes � No ' <br /> PL� ��� Yes v' No SEWER CONNECITON <br /> STATE SUR`H1�G� Yes // No WATER CO�tNECITON <br /> INVESTIGAZ'ION-�EE Yes No PARK FEE <br /> SAC Yes No SITEINSPEG"I'ION <br /> Number of SAC Units OTHER (specify) <br /> ------------------- ---- <br /> ZO�TING CHECK LIST zoning Districc: C..2 - 1 Q � <br /> Fire Departrnent: _���,�!✓� Post OfFice: ,�wov rvvJ School District: <br /> t�STDsv�' <br /> Lot Area: Sq.ft._ 2 v��I�-( Acres . �6 tiVidth �/Ui�bJc�� Depth <br /> Survey Submitted: Yes oL No Date of Survey: `'��- �l `, <br /> Proposed Setbacks: � <br /> Front (I�e): 7 ' Right Side• �.3 � <br /> Reu (Street): _ !`'I`� . Left Side: N�r� <br /> Adjacent Structures: 1 g� tiVetland: N/� <br /> Building Height: Def. Hgt. C�. (� Pea.k Hgt. — J <br /> Lot Coverage: — <br /> Gradin�: Staff Approval Date: � . By: - Council Approval Date`� <br /> Septic: Staff Approval Date: � By• ••-- . <br /> Zoning File: #_2 y o Z Resolution: # Resolution Date:�_y�- ZH f� � <br /> Shoreland Dis�ict: � ,P 5 <br /> Avg. Setbac� N r A Bluff Setback: �'1/ (/�- L,ot Coverage: 1 � <br /> ' ' Existin; Proposed <br /> Hazdcover: 0-75' <br /> 75-250' . `/�,(,y � � <br /> 250-500' . --_"-f-- <br /> 500-1Q00' <br /> Hardcover Vaziance Required: Yes x- No Date of Coancii Approval: <br /> � <br /> REl�ZAR��S ('in house): � <br /> � _ . . <br /> : J�� � 26 <br /> , �t:�.. . . <br />