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� ' <br /> � <br /> � ' � CHECI� OFF LIST FOR ISSUANCE OF PER1tiIYTS <br /> ,. � � � � FOR OFFICE USE ONLY . � . <br /> DRESS OR LEGAL: Z.`01 ti2�A�N c—� iZ�a� <br /> �: <br /> D�'SCR�'I�ON OF�ORB: (L�C3��c.��+J cfl C�(�O�r�C� <br /> . <br /> Z vL1'G REVIEti�B�: D�TE APPROYED: /2 � Zz - o O <br /> B DI�i'G RE'YIEtiV BY: p���/} . � . D4TE APPROYF�: . . <br /> ���J 1 c'`l'r?� G- v_ <br /> F�ES TO BE C$4RGED: `�isc. Fees Calculated By: <br /> p RMIT Yes ✓ No :� <br /> p�AN REVIEW Yes � No SEWF.R COVNECTION <br /> S�'ATE SURCHARGE Yes No WATERCONNECTION_ <br /> If�V�ESTIGATION FEE Yes No PARK FEE <br /> S�C Yes � No SITEINSPECTION <br /> yNumber of SAC•Units OTHER (specify) <br /> Z�O\�tG CHECK LIST Zoning Disocicc: /vc� G«�e _ . <br /> F�re Department: Post Office: School District: • � • <br /> I.�t Area: Sq.ft. Acres " Width Dcpth _ <br /> Surve; Subritted: Yes No Date of Survey: <br /> P�ropvsed Se►.backs: <br /> Froat(La.ke): Right Side• ' <br /> Rear (Street); Left Side: <br /> Adjacent Structures: � tland: • <br /> �uildin� Hei�ht: Def. H�c. P a.k Hgt. <br /> t Coveraga: <br /> �'rradin�: Staff Approval Date: y; Council Approval Date: <br /> �5eptic: Staff Approval Date: y: <br /> Zoaing File: � Resolution: : Resotution Date: . . <br /> �Shoreland District: <br /> Av�. Setback: Blufi Setbac LotCoccra�e: <br /> E���? ' Praposcd <br /> Hardcover: 0 75' <br /> � 75 250' <br /> ti0-500' • <br /> 500-1000' <br /> � Hazdcover Variance Re uir�d: Yes No Date of Couacil Approval: • <br /> q <br /> ' gEtiLA�i S (in house): <br /> � <br /> 7 <br /> �k — <br />