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" ' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 o rny RT�.Ev.�oo� 20� <br /> PID: <br /> DESCRIPTION OF WORK: p�uc �P�c,En��� <br /> ZO.�TI��tG REVIEW BY: DATE APPROVED: 8-2.� •o-Z <br /> BUII.DING REVIEW BY: DATE APPROVED; � .z� •a�z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes _,1 No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq:ft. t+►cres Width Depth <br /> Survey Submitted: Yes_ G� No Date of Survey: g-2�'b� d'Z- <br /> Proposed Setbacks: <br /> Front(beic$�): (0 3� t Right Side: 12 5� � <br /> Reaz(St�eet): I 30' t Left Side: 4 0' t <br /> Adjacent Structures: �:-�c�-4ca'tij Wetland: � <br /> Building Height: Def. Hgt. -- Peak Hgt. — <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: —' By: <br /> Zoning File: # — Resolution: # Resolution 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 /> Hudcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />