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- 1 • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FO� OFFICE USE ONLY <br /> ADDRESSORLEGAL: f,�';" i�'.-+.<_������_. .1� � ���_� � _. _� <br /> PID: <br /> DESCRIP'TION OF WORK: ����,. ., �;,_ -�i'2Ew� o�U E L <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONli�1G REVIEW BY: DATE APPROVED: �-30-S� <br /> BLTILDING REVIEW BY: DATE APPROVED: 5- 30-5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SUR�HARG�. Yes �/ No WATER CONNECTION <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: R CL-I(�_ <br /> Fire Department: L�g�7 q.�T1�, Post O�ce: ����Z,n,�'Y� School District: ORoNa <br /> Lot Area: Sq.ft. lvo GffA�uC,E. Acres – Width lR2C,C�Ul.�42 Depth <br /> Survey Submitted: Yes_� No slk Date of Survey: t� 20-(��( <br /> °� SR-Q No t�. � f3E t�(� 0�.1 P22�'''� ,� <br /> Proposed Setbacks: , <br /> Front (L-�e�: 4� Right Side: � (Z� � <br /> Rear (Street): 1 Ub� Left Side: 3Z� �'= <br /> Adjacent Structures: /}�rrqGucY� Wetland: �(�q <br /> Building Height: Def. Hgt. O��L Peak Hgt. O+k <br /> Lot Coverage: C9.{C <br /> Grading: Staff Approval Date: O •�C �-3�-9 7 By: o��. Council Approval Date: /1//�• <br /> Septic: Staff Approval Date: N(A BY� <br /> Zoning File: # N�.i _ Resolution: /# -- Resolution Date: — <br /> Shoreland Dist:ict: �V O _ <br /> Avg. Setback: Bluff Setback: L.ot 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 /> � 26 <br />