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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> v FOR OFFICE USE ONL,Y <br /> ADDRESS OR LEGAL: !? � 7 /1/�(�/�y�v7 <br /> PID: <br /> DESCRIPTIDN OF WORK: ��(� y.�{�.Q l.��/-��jr <br /> ZONING REVIEW BY.• DATEAPPROVED�y��~r <br /> BUILDING REVIEW BY.• ' DATEAPPROVED: i o •�S•o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ��_________�_ _ <br /> PERMIT Yes ✓ No <br /> PLAN REi�IEW Yes� _ No SE�'ER CONNECTION <br /> STATE SURCHARGE Yes ✓ No GiATER CONNECTION <br /> INVESTIGATION FEE Y'es No ✓ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ��__����__���_��__�_��_�_�_�� _��,w----�-�--��_��_��--�-- <br /> ZONING CHECK LIST Zoning District: ��� <br /> Fire Department: Post Off ce: School District_ <br /> Lot A�•ea: Sq.ft. � Z�3(p 4 Acres W'idth Depth <br /> Survey Submitted: Yes � No Date of Stu-vey: �r28' �r7 <br /> Proposed Setbacks: [ � � <br /> Front (� ��nd Irc�T R�kt Side: ��•5 <br /> G �t c�� � �;v�?sf l` / <br /> Rear(�reat�: QJ S �Side: �Z 7 <br /> / <br /> Adjacent Structures: �� Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: �C55 �y�r ��J�p <br /> Grading: Staff Approval Date: !4 - /Z- a� Bi: Tj� Council Approval Date: <br /> Septic: StaffApprovalDate: �_ By: � <br /> Zoning File: # Resolution: r# Reso[ution Date: <br /> Shoreland District.� � MCGG'D Pe�mit: <br /> Avg. Setback: {7�,� BluffSetback: f�E'} LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-?.i' — ___. <br /> 7.i-2�0' -- ._._, <br /> '.i0-.500' — — <br /> soo-�oon� /�v �r� <br /> Hardcover I ariance Requir-ed: Yes !�'o 't/� Date of Council.4pproval: <br /> REMARKS(i�rhouse): �l� fv ,-e��rw �y�(iny Sz�,y� �C/'Z <br /> C'/�'c�r.t���-/S �{v u c t,�c�a �— R D�M�rP �1 T K� . i e -�z.-ct - . o. <br /> 33 <br />