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� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 33 00 /1r�}V�R2� �� <br /> PID: <br /> DESCRIPTION OF WORK: cGK <br /> ZONING REVIEW BY: DATE APPROVED: _�,- r S •o Z <br /> BUILDING REVIEW BY: DATE APPROVED: � -�g. oL <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes r�' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes oC No Date of Survey: �•z,�76 <br /> Proposed Setbacks: <br /> Front(L�j: �p� Right Side: '�/� ' t <br /> Rear(St�aet): (,2 Left Side: �y' t <br /> Adjacent Structures: /�-�C/{� Wetland: �//Z <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: — /v0 C I�FANG P — (�,/lA-,p� L��� � � <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: �� By: <br /> Zoning File: # '-'� Resolution: # Resolution Date: <br /> Shoreland District: •��CS <br /> Avg. Setback /�<i" Bluff Setback: �t! /} L.ot Coverage: N•� • <br /> Ezisting Proposed <br /> Hardcover: 0-75 <br /> 75-250' <br /> 250-500' <br /> 500-1000' � o <br /> Hardcover Vaziance Required: Yes No ,c Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />