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� <br /> - .• . _, , <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3S o N o R T1-� A 2v►^ L�,�` <br /> PID: <br /> DESCRIPTION OF WORK: !�o+r� � -r� o <br /> ZONING REVIEW BY: DATE APPROVED: �- � -d� <br /> BUILDING REVIEW BY: DATE APPROVED: 7-6 -oo <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes �/' No SEWER CONNECITON <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: ^r� �f <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: � �.e <br /> Proposed Setbacks: <br /> Front�t): �/�,j �. Right Side: Q � <br /> .�e�{St�rest): 7S W Left Side: 90 5 <br /> Adjacent Structures: A-'7"i�ua PO Wetland: N (r4 <br /> Building Height: Def. Hgt. b. �L Peak Hgt. — <br /> Lot Coverage: /v �i'°� �� � <br /> � <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba : Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />