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� ' ' CHEC�i OFF LIST FOR ISS�CTA.�'�TCE OF PERti1ITS <br /> FOR OFFICE USE i�IL.Y � . <br /> �DgESS ORLEGAL: 133� 12.�5�r �0 �nt� 1�� . <br /> PID: <br /> DF,SCRIPTION OF S'YORK: �-rr�w c�+�..�o �,�+n�c e <br /> . <br /> ZOti"L\'G RE'YIE��%BY: � D�TE APPROY�D: l, • z � - 01 <br /> BUILD�'G REVIE�BY: � . D�TE APPROYID: L • z.�-.�r <br /> FEES TO BE CH.ARGED: Niisc. Fees Calculated By: <br /> pEgMI'I' Yes � No :• <br /> pL,p,N REVIEW Yes �/ No SEWFR COi�I�IEG"TION <br /> STATE SURCHARGE Yes �/ No ��IATFI2CONNECI'ION <br /> I'`i,'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZOti�L�tG CH�CK LTST zonin�Dis�icc: L/1 -i�3 . <br /> Fire Department: rvwu� Post Ofnce: ry�.�,��.,� School District: l�•r2sTe%'��l- � <br /> Lot Area: Sq.ft. ZH�U 6`7 Acres • �S � Width Depth <br /> Surve;f Sub.�.itted: Yes o� No Date of Survey: �'�� 'q� <br /> Proposed Setbac!cs: � <br /> F.ont (Li<e): I ZD � i. Riaht Side: ' � + � <br /> Rear (Sc:eet): LZ � Left Side: �Z� � 5 <br /> Adjacen[Structures: _ �4-y-7�qc,Gf-e„� tiVetland: N/✓1- • <br /> Buildin� Hei�hr. Def. H�t. c� •lc Pe�k H�t. C�•�` <br /> Lot Coverz�e: /U'�✓� <br /> Grading: Scafi Approval Date: — By: Council Approval Da[e: <br /> Septic: Staff Approval Date: � By: <br /> Zonin� File: � 2�'�7 Resolution: � Resolution Da�e: 1 � Zz-- c�l - <br /> Shoreland District: v� 5 <br /> Av�. Setbac'� n��� B[ufi Setback: — LotCo�•era�e: — <br /> E���� Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' 11 <br /> �!y <br /> 2�0-500' <br /> 500-1OQ0' <br /> Hardcover Variance Required: Yes No ac_. Dace of Council Aoproval: <br /> REI�IA.R�;S (in house): <br /> 7 <br />