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CHECK OFF LIST FOR ISSUAtvCE OF PER�tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: —7L1 sAN fl s�-'��r� c�2 <br /> PID: <br /> DESCRIPTIONOF yf�ORK: Ncws 2�cS <br /> ----------------------------------- ---------------------------------- , <br /> ZOtYING RE VIE t�B Y: DATE APPRO VED: //• �B-o Y <br /> BUILDrNG REVIEW BY: DATEAPPROVED: J �-� 8 -T <br /> -------------------------------- <br /> FEES TO BE CHARGED: / tl�Iisc. Fees Calcatlated By: <br /> PERII�IIT Yes �/ No <br /> PLAN REVIEGV Yes � �Vo SEYVER GO�VNECTION <br /> STATE SURCHARGE Yes _� tVo YV�ITER COIWECTIO�V <br /> INVESTIGATIO�V FEE Yes _ _ tVo � PARK FEE <br /> S�!G Yes �/ No—� SITE INSPECTIO�V <br /> Number of SAC Units 1. OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO[VI[VG CHEC,ti'LIST Zor�ing Distr•ict: <br /> Fire Deparhnerct: Post Office: School District: _... <br /> Lot.�lrec�: Sq.ft. Acres �Yidt12 Depth <br /> Scvtiey Subrriittecf: Yes_� No Date of Str�veti�: 11-03'O�{ <br /> Proposect Setbacks: � <br /> Frortt(La1te): � Rig/:t Slde: <br /> Rear(Street): � Left Side: � . <br /> Adjacent Structures: O GVerinnd: � A <br /> Be�ilclirrg Height.• Def. Hgt. C7.��- Peak Hgt. ' <br /> Got Coverc�ge: �N I A <br /> Gr•nding: Stc�ff Appr'ovc�l Dccte: � By: Council Approval Date: <br /> Septic: Staff Approval Dc�te: N 1 A BY� <br /> Zoni�tg File: # Resolc�tial: # Resolcition Date: <br /> Shoreland Dish•ict: 1�I� <br /> Avg. Setback: Blc�ff Setback: Lot Coverage: <br /> Existing Proposecf <br /> Hc�rdcover: 0-7�' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Karcicover Variance Req�cired: Yes No Date of Coat�zcil Approval: <br /> REMARKS(in l:otcse): <br /> 31 <br />