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., ' ' _i <br /> • � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS - <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z i35 o C.. � rr c,� C��c c-(A t�v� w A� <br /> PID: <br /> DESCRIPTION OF WORK: 14 4��`t� on� - <br /> ZONING REVIEW BY: �� DATE APPROVED: �•9r-9`� <br /> BUII.DING REVIEW BY: DATE APPROVED: —�-g -9 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: , <br /> PERMIT Yes �� No I <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION ' <br /> STATE SUR�HARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE ' <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) ', <br /> ----------------------------------------------------------------------------------------------------------------------- i <br /> ZONING CHECK LIST Zoning District: GQ-/� I <br /> � <br /> Fire Department: �v iGt.' Post Office: �ti I� School District: d/LC)�vv <br /> Lot Area: Sq.ft. Z•� �'Acres 2• t Width I r2R.�G t�l.4-� Depth '— � <br /> Survey Submitted: Yes�C_ No Date of Survey: �-9 -4 g <br /> Proposed Setba��ks: � � <br /> Front (i�dce): _ 1 3v Right Side: 3 v <br /> Rear (St�eet): 9S� Left Side: N �Ia <br /> Adjacent Structures: i4,�T�G tF� Wetland: <✓�/4 <br /> Building Height: Def. Hgt. O•/� Peak Hgt. ^ � <br /> Lot Coverage: N/� <br /> Grading: Staff Approval Date: — By: -- Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland Dist•tct: y`CS <br /> Avg. Setback�.Tj'V l/� Bluff Setback: N �/� Lot Coverage: N �� <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' �•�� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No � Date of Council Approval: <br /> REMARKS(in house): <br /> . 26 <br />