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•4 :� ♦ <br /> f <br /> � , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3b�5 �r°�0(35 c�►1 r(,�- (lc�A-�J <br /> PID: <br /> DESCRIPTION OF WORK: N�� i�-5 <br /> ----------------------------------------- ------- -------------------------------------------------------------------- <br /> ZONING REVIEW BY: cw DATE APPROVED: /� - 2�i -S 9 <br /> BUILDING REVIEW BY: DATE APPROVED: /� - Z� -5'� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes _�� No WAT'ERCONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �R.'I n <br /> Fire Department: �v Ifflct,' Post Office: School District: cg/l.�,n� <br /> Lot Area: Sq.ft. 3 0�, o Z2.7 Acres (�.�4 �' Width Lf 1(1�S � Depth l 3d ��� <br /> Survey Submitted: Yes � No Date of Survey: � b -Lv-�?�f <br /> Proposed Setbacks: <br /> Front (-�e�): �t�S ' Right Side: I 30 � <br /> Rear (Street): St�o � 1= Left Side: 1 l '3`� � <br /> Adjacent Structures: N ��A Wetland: <br /> Building Height: Def. Hgt. '2-1 Peak Hgt. �J <br /> Lot Coverage: �///3 <br /> Grading: Staff Approval Date: i � -Z-`' ' �� By: � Council Approval Date: �t/(yj <br /> Septic: Staff Approval Date: (t-�-;-�j q By: L•N. <br /> Zoning File: {t '— Resolution: # Resolution Date: <br /> Shoreland District: (U U <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS (in house): <br /> 27 <br />