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1.11111 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1150 04.0 C2 ySTYfc- QR y /24).4.0 <br /> PID: <br /> DESCRIPTION OF WORK: AOD J n 0 <br /> ZONING REVIEW BY• �M ~ DATE APPROVED: 2.3-- n a <br /> BY: 0 DATE APPROVED: z• - oc� <br /> BUILDING REVIEW �� Q2�.._ <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 WATER CONNECTION <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: RR•1(S <br /> Fire Department: Gey ick, Post Office: .p (A& c;. School District: Ores - o <br /> Lot Area: Sq.ft. el° C11 -*,,2 Acres Width Depth <br /> Survey Submitted: Yes >4 No Date of Survey: Ori i- c <br /> Proposed Setbacks: <br /> Front(bake): 2`15 ± Right Side: Sys *' <br /> Rear(Street): (f$• t Left Side: 245-1 "} <br /> Adjacent Structures: ,4Trrtc-t#L Wetland: /1/#4- <br /> Building Height: Def. Hgt. O,k- Peak Hgt. — <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> 4 <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> `REMARKS(in house): <br /> 27 <br />