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• CHECK OF'F' LIST FOR ISSUANCE OF PER��IITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I �31� �44 A(J`�1 W c�c��J 1?�iA� <br /> PID: <br /> DESCRIPTION OF WORK: �EW (2�5 <br /> . <br /> ZO�'G REV�`V BY: DATE APPROVED: q - t 3- o0 <br /> BUII.DING REV�W BY: DATE APPROVED: y'- �� -oa <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No :� <br /> PLAN REVIE�1 Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes _�� No WATER CONNEC'ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No �_ SITEINSPECTION <br /> Number of SAC�Units ��—t�r-r F��. de.,,,,�.� OTHER (specify) <br /> ZOVL�tG CH�CK LIST zonin� District: (..2-� L <br /> Fire Depar[ment: y�,�,�����____ Post Office: ��1�1y'Z.A�TW School District: �r,J�,gTC►�N�c A <br /> Lot Area: Sq.ft. 3(..v`1 U Acres • �2-7 Width �i(LEl,v(h!Z Depth <br /> Survey Submitted: Yes_� No Date of Survey: 3-Z�-0 0 <br /> Proposed Setbacks: <br /> �ro�st(La.ke): � -�1 Right Side: 99� <br /> �as (Street): � � Left Side: '1 I � <br /> Adjacent Structures: N ��- Wetland: �-- . <br /> Buildin� Height: Def. Hgt. Z Z Peal:Hgt. Z�6 <br /> Lot Covera�e: �, �L <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zonin; File: # — Resolution: # Resolution Date: <br /> Shoreland District: y�5 _ <br /> Avg. Setback: C���c. Bluff Setback: /ll I A- L,otCovera�e: <br /> Ezistin� Proposed <br /> Hardcover: 0-75' Z 3`1 Z'2'b <br /> 75-250' t�$ .(,1 z.2 a 3 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �C Date of Council Approval: <br /> RE�I.A_RKS (in house): <br /> 7 <br />