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� � r� F R ISSUANCE OF PERMITS �/ ��/ <br /> CHECK OFF LIST O <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `Z 9 y S 3�+�►'����'N 20� <br /> PID: <br /> DESCRIPTION OF WORK: W-A� � �o� <br /> ZONING REVIEW BY: DATE APPROVED: y-Z? •S S <br /> BUII..DING REVIEW BY: DATE APPROVED: Y- Z 7-S�j <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes _� No SEWER COTfNECTION <br /> STATE SURCHARGE Yes r/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> - -------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: R R-�C� <br /> Fire Department: (�t�n�6�t«-�= Post Office: ��� School District: C9(LdNn <br /> Lot Area: Sq.ft. `��,�� Acres �- Width �ct S Depth S(S� <br /> Survey Submitted: Yes � No Date of Survey: `�-�7�80 <br /> Proposed Setbacks: <br /> Front(�dee): ��� Right Side: ?�c�o � t- <br /> Reaz(Street): �v� � Left Side: t 5 5 � = <br /> Adjacent Structures: /�-�7 i�+�J Wetland: /J l/+�- <br /> Building Height: Def. Hgt. D-�� Peak Hgt. p.�< <br /> Lot Coverage: /� �/a- <br /> Grading: Staff Approval Date: �' By: �— Council Approval Date: <br /> Septic: Staff Approval Date: '— By: � <br /> Zoning File: #�_ Resolution: # � Resolution Date: <br /> Shoreland District: /U'U <br /> Avg: Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />