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A <br /> � • � <br /> � � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: �1 l 2� l-1�6N w oo�J �.AN�:. <br /> PID: <br /> DESCRIPTION OF WORK: dV C—V.s �Z,C�. <br /> Z0�1ING REVIEW BY: DATE APPROVED: �'i - �i-a 3 <br /> BUII.DING REY�W BY: DATE APPROVED: S—g -�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pLAN REVIEW Yes _� No SEWER COrfNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECITON <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No ✓ SITEINSPEG"TION <br /> Number of SAC Units ��,,,,�,�,,.�., ,�,,� ��,�,, OTHER (specify) <br /> ZOr'Il�1G CHECK LIST Zoning Districr. LR-�� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Z�f6`1� Acres • 6 6 Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: `'�- �o � �7 <br /> Proposed Setbacks: <br /> F�ent(�,ake): Q 3� � Right Side: .S�i.2� <br /> P�(Street): 52' �I'� Left Side: 3 I•6$ <br /> Adjacent Structures: I 2 Wetland: nl �a4 <br /> Building Height: Def. Hgt. Z`( �� Peal:Hgt. �� � <br /> Lot Coverage: $•3 <br /> Grading: Staff Approval Date: �- '8��3 By: � Council Approval Date: � <br /> Septic: Staff Approval Date: N� By: - <br /> Zoning File: # o3-Z'84 Resolution: # Resolution Date: g'l I'�3 . . <br /> Shoreland District: �C5 <br /> Av�. Setback: �p►�,��c� Bluff Setback: vA-���c,tr LotCoverage: $• 3 <br /> Existing Proposed <br /> Hardcover: 0-75' S.� <br /> 75-250' Z�. 2 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes J� No Date of Council Approval: � `<<' �� <br /> REMAR��S (inhouse): -- �. <br /> 7 . . <br />