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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: �SS g (��v11�165��1 /a�� <br /> PID: <br /> DESCRIPTION OF WORK: �C,C�K <br /> _� , . <br /> ZO�TING REVIEW BY: DATE APPROVED: s-��• 9 9 <br /> BUILDI�i TG REVIEW BY: DATE APPROVED; _ S-- ��• 9 g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓� No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATE.RCONNECTTON � <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ____________ _---__________---_-------------------------------------------- <br /> ZONING CH�CK LIST Zoning District: C,2-I e- <br /> Fire Department: M�c9unr,� Post Office: W A� School District: w2STONY�4 <br /> Lot Area: Sq.ft. /3,�Sa Acres . 3 Width �(90 Depth /3�i• � <br /> Survey Submitted: Yes x No Date of Survey: �-1•Z� •g <br /> Proposed Setbacks: , <br /> Front(�aice): �d Right Side: I L� <br /> Rear(�StrceC�: �( Left Side: 1 I � <br /> Adjacent Structures: I y� � bnn�� Wetland: IJ (� <br /> Building Height: Def. Hgt. N ( �1 Peak Hgt. <br /> Lot Coverage: ���° <br /> Grading: Staff Approval Date: N �� By: — Council Approval Date: — <br /> Septic: Staff Approval Date: N (/� By: <br /> Zoning File: # - Resolution: # ` Resolurion Date: '— <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 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 /> 7 <br />