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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> 3 ��j FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4� l.y 2�L A�l� <br /> PID: <br /> DESCRIPTION OF WORIG ��c.�c ,��Q u!c,�;�.�,�-,�v, <br /> ZONING REVIEW BY.• � (5�•-- DATEAPPROVED: ��-z6• o t9 <br /> BUILDING REVIEW BY.• DATEAPPROVED: /�.Z�• o� <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 /> WVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area.• Sq.ft. Acres Width Depth <br /> � Survey Submitted: Yes�L No Date of Survey: pN r��,r, L,.Zb . �3 <br /> Proposed Setbacks: <br /> Front(�chsj- S'1 Right Side: �p <br /> � Rear(EEreet): 1(� Z Left Side: 2, <br /> • Adjacent Structures: /4 Trl��.}�� N�ei/and: �y�� • <br /> Building Height: Def. Hgt. f//,q- Peak Hgt. ^ <br /> Lot Coverage: Q.JC._ <br /> Grading: Sta,f�'Approval Date: /�/°}- By: — Counci!Appraval Date: <br /> Septic: StafJ"Approval Date: I✓/'� By: — <br /> Zoning�'ile: # Resolution: # Resolution Date: <br /> Shoreland District: N� MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-7.i' <br /> 75-2.50' <br /> 2.i 0-�00' <br /> .i 00-1000' <br /> Hai•dcover i�'ariance Required: Yes N'o Date of Council App�-aval.• <br /> REMARKS(i►i house): <br /> 33 <br />