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• � CHECK OFF LIST FOR ISSUA.i�'CE OF PERi.I�IITS <br /> _ FOR OFFICE USE ONLY . � . <br /> ADDRESS ORLEGAL: ��83 pA(t�c /V`� — <br /> PID: <br /> DESCRIPTION OF WORK: �,�O�J �-n�n] <br /> . <br /> ZO�"G���BY: DATE APPROVED: !c�-ZO •n� <br /> BUILDIiYG REY��BY: . DATE APPROYED; �o.i�o:-e�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMIT Yes _� No :. <br /> pI,AN REVIEW Yes �/' No SEWER CO�ECTION <br /> STATE SURCHARGE Yes _,� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No P?►RK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZOtiTiG CHE.CK LIST zoaing D'u�ict: L.2-/Q _ <br /> Fire Department: �,o v� Post Office: yV�AVM� School District: w STD���'• _ <br /> � <br /> Lot Area: Sq.fc. 9, ��� Acres . 2�°� � Widch ti 9• 6 5 Depth ( �s �= <br /> Surve; Suba:itted: Yes �'- No Date of Survey: �� -� g -O� <br /> Proposed Setbacks: � <br /> Freat(La.�ce): I 2.0� t Right Side: 1 y� <br /> R�(Street): �1�(� '� Left Side: 3' <br /> Adjacent Structures: 13 � Wetland: � �� • � <br /> Buildin�Height: Def. H�t. _ (9,k Peal:Hgt. C9�� <br /> Lot Coverage: �d G�+�+�'S►� <br /> Gradin,: Staff Approval Date: �v o G�w� By: 8-2�-o�Council Approval Date: — <br /> v <br /> Septic: Staff Approval Date: By: <br /> Zoning File: 1# 'Zs� i Resotutioa: � ��q7 Resolution Date: -7-� � '0� . <br /> Shoreland District: l�.K <br /> Avg. Setback: � .�l, Blufi Setback: � (� I.ocCo��erage: <br /> Existin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' /'Vro C(-f�^'�,0 <br /> 4' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> gEI�IA,RKS (in house): <br /> 7 <br />