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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �4x; �v c�z�7-� +��.-�,ti-. O� <br /> PID: <br /> DESCRIPTION OF WORK: 64r�;a ; n�,v ��w�,��� <br /> ZONING REVIEW BY:---c,-,J------;�-�,�.s..-_-------------DATE APPROVED: y�-_�`7-�7`r--- <br /> - C� <br /> BiTILDING REVIEW BY: ! ��' „ ' DAT'E APPROVED: y- Z?-��4 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes :/ No <br /> PLAN REVIEW Yes � No S::WER CONNECTION <br /> STATE SUR��-IARGL Yes � No WATERCONNECTION <br /> INVESTIGA7'ION FEE I'es No �/' PARK FEE <br /> SAC Ycs No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI�IG CHECK LIST zoning District: c;�'' I�; <br /> Fire Department: ��wL�� Post Office: �•v�.� �<� School District: �.�--� 5�.v«t <br /> Lot Area: Sq.ft./�,�� G���' Acres — Width = Depth � <br /> Survey Submitted: Yes ,.,� No Date of Survey: �,v ,='i�,�:; � l� `t c <br /> Proposed Setbacks: <br /> Front (�ai�c): _ r/`` � Right Side: i 3v� '� <br /> Rear (Street): �1`j '�:_ Left Side: ( � � <br /> Adjacent Structures: /�T7 AL �y? Wetland: �U �(/� <br /> Building Height: Def. Hgt. L'� k Peak Hgt. � <br /> Lot Coverage: N �� <br /> Grading: Staff Approval Date: —"— By: — Council Approval Date: <br /> Septic: Staff Approval Date: — By: — <br /> Zoning File: # Resolution: �# Resolution Date: <br /> Shoreland Dist��ict: '�/.�5 <br /> Avg. SetbackT��. (� Bluff Setback: ,�t� (/1 I.ot Coverage: .t/(/� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' % ": �� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />