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. , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �S O ivoa�rf .42n• /J!1 <br /> PID: <br /> DESCRIPTION OF WORK: /v�o�,�t ��v �t,�6�j <br /> ZO.vP1i G REVIEW BY: DATE APPROVED: /Z- z-0 3 <br /> BLTII..DI�i 1G REVIEW BY: DATE APPROVED; /Z- z - �3 <br /> FEFS TO BE CHARGED: b�isc. Fees Calculated By: <br /> PERNIIT Yes ✓ i�o <br /> PLAl�T REV�W Yes _,C No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� Ir o WATER CONNECITON <br /> INVESTIGATION FEE � Yes 1�►0 � PARK FEE <br /> SAC Yes I`o �/' SITEINSPECTION <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. �{2,b�� Acres ..1735 � Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: /l•i l - �3 <br /> Proposed Setbacks: � <br /> Front(I.ake): Z�i o' �'—' Right Side: �` .y <br /> Reaz(Street): 62-5 ` Lefr Side: y'1•2 <br /> Adjacent Structures: �0� t �'atland: �/ /A <br /> Building HeiQht: Def. Hgt. c�.!� P�Hgt. — <br /> L.ot Coverage: � <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: � — Resoludon: � Resolution Date: <br /> Shoreland District: y t5 <br /> Avg. Setback: nilA BluffSetL�ck: N/� LocCoverage: — <br /> E��a PrOposed <br /> Hardcover: 0-75' <br /> 75-250' S, y `�° <br /> 250-SQO' � <br /> 500-1000' <br /> Hazdcover Variaace Required: Yes \o�_ Date of Council Approval: ' <br /> REMARI�S(in house): <br /> 7 <br />