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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (0 Q C7 RcN° 0 RC)' A R 1O (2.0A 0 <br /> PID: <br /> DESCRIPTION OF WORK: , nokCkiceJ1 GA C c: <br /> ZONIIG REVIEW BY: ---- DATE APPROVED: /015 BUILDING REVIEW BY: 0 DATE APPROVED: /o-I c - <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW _ Yes v- No SEWER CONNECTION <br /> STATE SURCHARGE Yes 1/ No WA l ER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LISTw Zoning District: R.2-\ <br /> Fire Department: (on,5 1,44c.e. Post Office: Cs,f(.A.-te.,42f School District: L-00•10 <br /> Lot Area: Sq.ft. S S! Y.5 6 Z•l Acres I. Zit Width 1 a42.03.v 14-''x- Depth <br /> Survey Submitted: Yes ed, No Date of Survey: ?- Z ) <br /> Proposed Setbacks: , + <br /> Front (be): 1143 ± Right Side: "/0 <br /> Rear (Street): 1`-(0� t Left Side: 1 I'3 i t <br /> I <br /> Adjacent Structures: 'S Wetland: "/ /4 <br /> Building Height: Def. Hgt. 0. l-- Peak Hgt. C9• i< <br /> Lot Coverage: /`1/A <br /> Grading: Staff Approval Date: it!/vim By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /./0 <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 /> 7 <br />