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CHECK OF'F'LIST FOR ISSUANCE OF PERi1�IT8 ��,'l�� <br /> . ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: - . Z"Z?S S h4rA��t wo c�✓� �� � . <br /> PID: <br /> DES CRIPTION OF WORK: _ �Nti.�J (Z�0 t,<G2 vJ'�.�.�' � <br /> _ ZOYIlVG RE'VIEti�BY: N � N DATE APPROVED: 9 �Z-S�3 � <br /> BUII.,DTNG REVIEtiV BY:. � � DATE APPROVED: y� - Z -�.� <br /> FEES TO BE CHARGED: • � � Misc. Fees Calculated By: ~� ~ <br /> PERMIT Yes c/� No . <br /> pL� ��W Yes No ✓ SEWER C0�IIVECTION <br /> STATE SUR`HARG� Yes �/ No WATER CONNECITON <br /> II�tYESTIGA'ITON-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> Z0�1ING CHECK LIST Zoning Districc: /()p C(�i�Ll � � � <br /> Fire Depar�ent: Post Office: School District; � ' � <br /> Lot Area: Sq.ft. Acres tiVidth D�p� <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Froat (La.�Ce): . . Right Sid�: . . <br /> Rear(Street): Left Side: <br /> Adjacent Structures: �Vetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: - By: Council Approval Date: <br /> Septic: Staff Approval Date: � gy; � . <br /> Zoning File: # � . Resolution:� Resolution Date:� <br /> Shoreland Dis�-ict: � � <br /> Avg. Setback: Bluff Setback: Lot Coverage: � <br /> � E��B Proposed � � <br /> Hardcover: 0 75' <br /> 75-250' . . . . <br /> 250-500' . • <br /> 500-1000' <br /> . Hardcover Yariance Required: Yes No Date of Couacil Approval: <br /> � v <br /> RENLA.RKS (in house): � <br /> . z � . . • . <br /> • ��` 26 <br /> , �i. . . <br />