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CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> -- FOR OFFICE USE ONLY <br /> y ADDRESS OR LEGAL: ��i z.Z [�tv�iv�s�-a n! Av e. <br /> PID• <br /> DESCRIPTION OF WORK: _ Q�i/�c.�tc�p ('9f}6t,4Ge ,q,vp pc�,Q� <br /> ZO�tni TG REV�W BY: ,`. DATE APPROVED: >>-t t�-02. <br /> BUII..DING REVIEW BY: DATE APPROVID; �i��t3-�Z, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districr. L�2•�C. . <br /> Fire Department: Post Office: School Districr. � <br /> Lot Area: Sq�.ft. 8, 32Z.S Acres .�°� � Width �-o Depth I 66•y5 <br /> Survey Submitted: Yes C No Date of Survey: �'22 '0 2' <br /> Proposed Setbacks: bMr�.¢ d eu< 6A�e ip�z,lc. <br />"� Front(�ako): 31• Right Side: zo <br /> Reaz(Sireei): $�0 �5' L.�ft Side: 10 $ <br /> Adjacent Structures� ZZ k7Tkt�cD Wetland: i1I G�A- <br /> Building Height: Def. Hgt. o,lc � Pa'NGP�� Peal:Hgt. o d� <br /> Lot Coverage: 2y.�1 <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> ZoningFile: # oz•z�22 Resolution: # ResolutionDate: lo-�`'�'Oz <br /> Shoreland District: ��S <br /> Avg. Setback: N« Bluff Setback: �f//� LotCoverage: ZY•5 <br /> Euisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 3S•j 3�1�b <br /> Hardcover Variance Required: Yes No_c� Date of Council Approval: <br /> REMARI�S(in house)• <br /> 7 <br />