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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE U.SE ONLY <br /> ADDRESS()R LEGAL: /� 7C� L-t�i�c+ L�s/�� B/+✓d <br /> PID: <br /> DESCRIPTION OF WORK: ./J1��.✓ C:o�►Sfr��"f�[�� - <br /> ZONING REVIEW BY: ����M� �� DATEAPPROVED:^ /� Z 7 O� <br /> BUILD�NGREVIEWBY: DATEAPPROVED: 10 •3 0 -o c,., <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ____ <br /> PERMIT Yes_� No <br /> PI.AN REVIEW Yes ,/ No SEWER CONNECTION_ <br /> STATE SURCHARGE Yes� No__ WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> �qC Yes No SITEINSPECTIOIV <br /> Number of SAC Units PA,� � �e�t,34t !,•3v-9g OTHER (specify� __ <br /> ZOMNG CHECK LIST�r 'Loning District: _ L�w_��w�W��� �r� �� <br /> Fire Department: __ Post Office: _ School District: _ <br /> / <br /> LotArea: Sq.ft. �_�S Acres Width �Q Z •�__ Depth __ <br /> Survey Submitted: }'es � No Date of Survev: ��� <br /> Proposed Setbacks: p�sL <br /> Front(�ke): ---_�3'�_______ I�rt Side: _____ Z Z, 3 <br /> 2 �'¢ �' 2 2,�{ <br /> Rear��.oarJ: _-,G_-C�-- r,ef�siae: <br /> Adjacent Slructures: __,[�/�__ Wetland: h�__, <br /> , <br /> Building Height.� Def.Hgt. Z S � Peak Hgt.�� <br /> Lot Coverage:_.���<Ci <br /> Grading: Sta,J�"'Approval Date: I�•,3�'��_ Bv: !3 J-fL•a.Council Approval Date: —' <br /> Septic: Sta�Approval Date: _ l�� ___ Bv: <br /> Zoning File: # (��p • �Zz�J Resolution:# J'(S V Z__ Resolution Date: 57��� <br /> ShorelandDistrict:�p}...---_... ..__ MCWDPermit: L•N _ww•I+.4.� sw�4_' .e-y �vk.� ��� <br /> Avg.Setback: _ _� Bluff Setback: ____ LotCoverage: <br /> Ezisting Proposed <br /> Hardcaver: 0-75' �'J {* d-� <br /> 75-250' � �r,.�,�,. � ��, � � ;��C�i 7 I d <br /> 250-500' - . "��}--- 't� ' '5���`� <br /> 500-1000' <br /> Hardcover Variance Required: Yes � No____ Date of Cauncil Approval: � UJ � <br /> REMARKS(in house): <br /> 33 <br />