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r '� , <br /> CHECK OFF LIST FOR IS5UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3y r v `�, s e+a:� �°2 <br /> PID: ; <br /> DESCRIPTION OF WORK: �j�, ���r� — (of� �' <br /> -------------------------------------------=---------------------------------------------------------------------------- <br /> ZONING REVIEW BY: �Q u._ DATE APPROVED: �9 - t 0 �9 S <br /> BUILDING REVIEW BY: DATE APPROVED: �,- i�•q� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ' <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: C.R-�L <br /> Fire Department: ��oivG,(AI� Post Office: l�Pt�,Z.A�T1� School District: o t�.�NO <br /> �,� <br /> Lot Area: Sq.ft. 2`�,323 Acres •�� Width 9'�•�� Depth �ZS•6y <br /> Survey Submitted: Yes >C No Date of Survey: o�r F�� <br /> i <br /> Proposed Setbacks: � <br /> (.Alc.�' � ,t. � + i <br /> FYent-{�ce): 1 SS Right Side: 60 <br /> I <br /> Rear(��et): I 30� � Left Side: 3�� } <br /> Adjacent Structures: AT'r�ct-��.� Wetland: N 1� <br /> Building Height: Def. Hgt. (�,(C. Peal:Hgt. — ' <br /> Lot Coverage: n) (da , <br /> Grading: Staff Approval Date: — By: — Council Approval Date: '— <br /> Septic: Staff Approval Date: — By: — - � <br /> I <br /> Zoning File: # — Resolution: # — Resolution Date: -- I <br /> Shoreland District: y Q S <br /> Avg. Setback (�,K- Bluff Setback: /V�14 Lot Coverage: (�. �� � <br /> Existing Proposed ', <br /> Hardcover: 0-75 <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No L. Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />