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. I . , <br /> z <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /po S /f v�v T' Fj�RM 2uh/� <br /> PID: <br /> DESCRIPTION OF WORK: �1/�/�� r��n! A�,� Dc�:S <br /> ZONING REVIEW BY.• � ' DATEAPPROVED: _q• Z�-oq� <br /> BUILDING REVIEW BY.• . DATEAPPROVED: g -Zq .�� <br /> FEES TO BE CHARGED: : Misc. Fees Calculated By: � <br /> PE��' Yes f No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> WVESTIGATION FEE Yes No_� PARK FEE <br /> SAC Yes No_� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECIf LIST Zoning District: <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sq.ft. �/'d C!-�ri„r�c Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: � . �. o s ��,� �,�l <br /> J <br /> Proposed Setbacks: <br /> Front(I�ke): � Sp ' fi Right Side: _2 y y ' <br /> Rear(SN�ect): 1 O S � 't Left Side: (b0� } <br /> Adjacent Structures: A.-7T�qLM _y> Wetland: /?D � -}- <br /> Building Height: Def.Hgt. �,�G Peak Hgt. <br /> Lot Coverage: /�//rq <br /> Grading: Staff Approval Date: 0•� By:� •V Counci!Approval Date: <br /> Septic: StaffApproval Date; -r'i"ZS -o b By: (,�/G . <br /> Zoning File: t# — Resolution: # Resolution Date: <br /> Shoreland District: �- No MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Fxisting Proposed <br /> Hardcover: 0-7.i' <br /> 75-2.i 0' <br /> 250-500' <br /> .i 00-!000' <br /> Hardcover 6ariance Required: Yes N'o Date of Council Approval.• <br /> RE11�4RKS(in house): <br /> 33 <br />