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, �. <br /> � ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � (�,u C.oM�q ca�vaA Avtr <br /> PID: � <br /> DESCRIPTION OF WORR �vE� i?.�3. <br /> ------------------------------------ ---------------------------------------------------------------------------------- <br /> ZONINGREVIEWBY: DATEAPPROVED: � �-g •�2 <br /> BUILDING REVIEW BY. DATE APPROVED: _ �i_�-�Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes �/ No SEWER COIVNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes � No ,� SITE INSPECTION <br /> Number of SAC Units R.�,�, ,��y�� OTHER (specify) <br /> --------------------------------------------------�=-A-r'i,nct�e�9 PQ/�v.,.�,'�-Zr=�------------------------ <br /> ZONING CHECK LIST Zoning District: L j2- /G <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Z�b,l�a Acres . (,�'1 Width )�a Depth <br /> Survey Submitted: Yes C No Date of Survey: `8 -�-�?•0 Z. <br /> Proposed Setbacks: <br /> r <br /> Front (La�e): � !S2 Right Side: 10.I <br /> Rear (Street): t �c� Left Side: l 3•`I <br /> Adjacent Structures: N(/a Wetland: N/� <br /> Building Height: Def. Hgt. 2 3.S Peak Hgt. Z-�. � <br /> Lot Coverage: <br /> Grading: St.aff Approval Date: ►l- � —l� 2� By: 1��- Council Approval Date: --- <br /> Septic: Staff Approval Date: P� ( A By: <br /> Zoning File: �# 0 z-z�3 3 Resolution: # Resolution Date: <br /> Shoreland District: u�s <br /> Avg. Setback: n•I�- Bluff Setback: �t!//� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' .� D�-p <br /> 75-250' � ,b <br /> 250-500' 2.9•�Z <br /> 500-1000' <br /> Hardcover Variance Required.• Yes No � Date of Council Approval: <br /> REMARKS(in house): (�,�?��` y 5�b ^Je� � <br /> 32 <br />