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� <br /> CHECK OFF LIST FOR ISSUAIYCE OF PERcti.fITS <br /> FOR OFFICE USE ONL Y � <br /> A.DDRESS OR LEGAL: 1 Z(o5 s H�2c��N� d��v�. <br /> PID: <br /> DESCRlPTXONOF Yl�ORK: �Zrc.ww v�e�- r �'O� �OR'`"'��" ` <br /> - -- ---�-/-�- <br /> ------ ---------------=----------------------------------------------- - <br /> ------------------------------- -- U�W-- <br /> ZOtVI�VG REVIEW BY: DATE.4PPROV.ED: 3-Zi - a s � <br /> BUILDIIVGREVIEYYBY: DATEA.P.P'R06'ED: 3- 2-i -os <br /> -------------------------------------- ----- <br /> FEES TO BE CHARGED: 1�'Iisc. Fees Cnlccciccted By: <br /> PERttitIT Yes c/ No <br /> PLAtV R.EVIEGV Yes � tVo SEYYER GOtVtVEGTIOtV <br /> ST.�I.TE SURCHARGE Yes-� tVo tiV�1TER CONt�IECTlOtV <br /> . ItUVESTIG.4TlO1V FEE Yes tV° P��F'EE <br /> Sfl G .Yes No SITE INSPECTION <br /> Ncunber of SAC Units OTHER (specify) <br /> ------------------------------------- <br /> ZO�YIIYG CH�ECh'LIST Zoning Dish•ict: /UO C(����� <br /> Fire Depn�•hnerrt: Post Off ce: Sc/tool DfsA•ict: _.. <br /> Got.�irea: Sq.jt. Ac�•es GYidth Depth <br /> Suivey Subrnitted: Yes No Date of Suivey: <br /> Proposect Setbactis: <br /> F�•o►►t(Gal.e): Right Side <br /> Renr•(Str•eet): Left 5ide. <br /> Adjacent Str•uctur•es: tlnnd: <br /> Building Height: Def. Hgt. Pe 'Kgt. <br /> Lot CoverRge: � _ <br /> G1•ading: StRfft�pp►'aval Date: Byr Cauncil�lpprovnl DRte: <br /> Septic: Staff Approval DRte: Y� <br /> Zoning File: # Resolutian: # Resolc�tion Dnte: _ <br /> Shoreland Disd•ict: v�S _ <br /> �,e{vg.SetbncT o•\�. Bluff Setback: Lot Coverage: <br /> � Existin J Proposed <br /> Hai•dco�e�•: 0-75' <br /> 75-250' � <br /> 250-5�0' � . <br /> � <br /> 500-!000' ' <br /> Hardcover Variance Required: Yes Dcite of Couneil Approval: <br /> ' . i <br /> .REt1�ARKS(in liouse): <br /> y�,.,' �,�,,,;� �, +ti+o s e �+M,�;� . <br /> �';�•1�,-"+'� '�'..,1•1��tg�"' ' �:�eatik*,. �3;;>�=..�. '��� .�'o: <br /> 31 <br /> ' ° "� �"i. �,� �n �;i` 'F <br />