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.,' . _ <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI.: I699 � �!�'� <br /> PID: <br /> DESCRIPTION OF WORK: �'A-,R�4 GC: �-�D' T7 0 <br /> ZONING REVIEW BY: DATE APPROVID: 3•29 —£� <br /> BUII,DING REVIE�' BI': DATE APPROVID: 3 �'2�9 ���— <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pL� ��w Yes (/� No SEWER CONNECTION <br /> STATE SURCHARGE Yes J- No WATER CONNECITON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �S� INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- <br /> Z0��1G CHECK LIST Zoning District: 2 R-I� Shoreland District : ��s <br /> Fire Department: L L Post Office: L C- School District: b/LQ"�� <br /> LotArea: Sq.ft. Nv C��""'p Acres �` Width �`- Depth <br /> � <br /> Survey Submitted: Yes C <br /> �` No Date of Survey: a� �i� <br /> Proposed Setbacks: ' <br /> F�eat ��e�: /�//{!�' Right Side: �Z 5 =� � <br /> Rzac-(Street): ��� "� I.eft Side: S Z� = � <br /> Adjacent Structures: �'���� Wetland: /`��� <br /> Building Height: Def. Hgt. C��� Peak Hgt. <br /> Avg. Se[back: C,�� <br /> Bluff Setback: �'✓�/�-� Lot Coverage: !'�<�' <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' a� � <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> Grading: Staff Approval Date: /U �� By: Council Approval Date: <br /> aj� By: S•W• �C/�,r�o�� ya On/La J 9'l. <br /> Septic: Staff Approval Date: 3"Z Gl Lo- Y r <br /> Zoning File: # Resolution: # Resolution Date: <br /> �MARKS (in house): <br />