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, • ' CHECK OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �� 0.3 d ( �t�. �,InC/�} <br /> PID: <br /> DESCRIPTIONOFWORK: o' �- ,qvc�/ � S � r�1�� <br /> ZONING RET�IEW BY.• ` DATEAPPROVED: � 2(o G'�' <br /> BUILDING REI�IEW BY.• DATEAPPROVED: ct-Z - p� <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No ,/' PARK FEE <br /> SAC Yes No �SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: � - <br /> Fire Department: Post�ce: School District.• <br /> LotArea: Sq.ft. Acres �, 2.�( Width 3 �,q' Depth 3 �� <br /> Survey Submitted.• Yes No Date of Survey: (,�'�� <br /> s.,,�,.�.� ��� <br /> Proposed Setbacks: � <br /> Front(�): � SG Right Side: f� /�r _E�� <br /> Rear(Street): �l(/�- LeftSide: V11�- <br /> Adjacent Structures: ��' Wetland: <br /> Building Height.• Def.Hgt. �� Peak Hgt. <br /> Lot Coverage: �d �P� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: By; � <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District.• MCWD Permit: <br /> Avg. Setback: Blu,f,J`'Setback: Lot Coverage: <br /> F�isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-]000' <br /> Hardcover Variance Reguired: Yes No Date of Council Approval.• <br /> REMARK.�(in house� A,d t S �rj�}� tv �Q�j� ��,N„ � �, � <br /> wt�h�wvk( f�ecd�h�w� � tcc�a-,� �„�,�zjs-eG �c� loa� a a� c cw�l�-�� <br /> _ a h I t Q,ue. A 2,v v�l s l���*'.�l C�xr�v '�s �c�- Q�cc�s s��. <br /> 33 <br />