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r ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: � 9 �('N, -' 3 2� Z�s`� �JOl�4 S bb�g ��V� ' <br /> PID: ��NG - wA3 �-►r�-23 �/ OotB <br /> DESCRIPTION OF WORK: DuP�.t�C <br /> _�_ ---------------------------------------- -9 <br /> ZO.vi�Ti G REV�W BY: DATE APPROVED• �S�_� <br /> BUILDING REVIEW BY: DATE APPROVED; �r►-S-5i9' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes No <br /> pLAN REVIEW Yes No SEOVER CONNECITON — <br /> STATE SURCHARGE Yes No WATII2CONNECTTON -- <br /> INVESTIGATION FEE Yes No PARK FEE_Tp wl S�e�D. <br /> SAC Yes No �_ SITEINSPECTION <br /> Number of SAC�Units 2. C��i� F� pQ��THER (specify) ' <br /> ZONING CH�CB LIST Zoning District: 1-12- �C` � <br /> Fire Department: y ► L � Post Office: f/U�iZ �iT39( School District: ('�2O�fl Z�S <br /> Lot Area: Sq.ft. Z I�'l S� Acres �„�� � Width �3 g '� Depth ���± <br /> L, !-lA/� �'rflNLb,L,RF J <br /> Survey Submitted: Yes � No Date of Survey: 3 -Z9 'q 9 <br /> Proposed Setbacks: � n,�.�A � Z� O1 � <br /> �� �ront�: � � �"'� Right Side: �7�� �N� G'. 4. . � � <br /> , <br /> � � <br /> �1�-� ��Rear(6�treei� �� Left Side: 3 3• 2 Cs 7 <br /> Adjacent Structures: �— Wetland: — <br /> Building Height: Def. Hgt. L�� Peak Hgt. 3Z� <br /> 0 <br /> Lot Coverage: � �� ° <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: •—= By: � <br /> Zoning File: # Z 3�� Resolution: f��Resolution Date: ��Z�� /� <br /> Shoreland District: �S n <br /> Avg. Setback: Bluff Setback: �f� Lot Coverage: �.3 �� / <br /> Existing Proposed <br /> Hardcover: 0-75' N l� /// <br /> � N /�' <br /> 250-500' — :5�1—<.o w�Gr� t�` =��� 3�9 �� <br /> _ ' �� � r <br /> 500 1000 � <br /> Hazdcover Variance Required: Yes No� Date of Council Approval: �` <br /> REMARI�S(in house): <br /> 7 <br />