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• � . . CHECK OFF LTST FOR XSSUANCE OF PER.�I�IITS <br /> � � FOR OFFICE US� ONLY <br /> ADDRFSS OR LEGAL: � ;� `L C S G�> L � I' �:-�_ . <br /> l.'ID: ir � r 7 - 2 � 2 �Z Oc�- IS . <br /> DESCRIPTION OF WORK: _ �t! � � � ��,,,,,� ; �,, � ; �,.�,� , � ��� � <br /> � �--_ � _�__--------- _ <br /> Z01 ��� �Z- ���-�--� DATEAPPROVED: `t lC� c -z <br /> BUII (�C; . DATE APP�20VED: �7,g , o�; <br /> � � : . � , s s � �_____--- � . ________--- __ <br /> �� �° T P��,,� �.sc. Pees Calculated By: <br /> PERIti. � � �, .�N <br /> PLAN S' P� � J.T P��"�S SEWER CONNECTIO� 9 Y t�o `'� <br /> S� �,,� � f ( �� A'� �ATER CONNECTION <br /> ��,,,,n �� � PARK FEE <br /> SAC SITEINSPECTTON <br /> Num� �, � .-OTHER (specify) <br /> ZO�'� , ;� ________ ��- . -_- <br /> Fire Depaz ___,.. School District: � <br /> � <br /> Lot Area: Sq.ft. G- Acres tiVidth �� 3 ��S ) � <br /> Dep[h � �C ca vl .-<r cye- <br /> Survey Submitted: Yes ✓� No Date of Survey: � - ��� �' ? <br /> Proposed Setbacks: � <br /> - Front (La.ke): , 7�' . Right Side: �'��1� <br /> � <br /> Rear(Street): r� � ' � Left Side: �t� ��� <br /> . Adjacent Structures: � tiVetland: (�0�+ <br /> C � <br /> Bullding Heioht: Def. Hgt. � � Pea.k Hgt. �(�.3� (.�,�91� � `2 v a.`� ��� <br /> � � ii� � ������-tz�� <br /> Lot Coverage: � <br /> Grading: Stafi Approval Date: 5 - �- �z . By: •�_ Council Approval Date: -� <br /> Septic: Staff Approval Dace: _ � N �� By: ' . <br /> Zonino File: �_ Z6��1 Resolution:# Resolution Date:� • <br /> Shoreland Disc.-ict: _��_ � <br /> Avg. Setback: Bluff Setback: ��'��� �'l��n� ��.��ce I.otCoverage: � <br /> � ' �� �� � ��t r� Proposed <br /> Hardcover: 0-?5' <br /> 75-250' u c-�; . . �� 2� �, , � z�>>�; ,: � - r:.i'r . <br /> 250-500' . • <br /> 500-1Q00' <br /> Ha.rdcover Variance Requircd: Yes No ✓ Date oF Council Approval: <br /> RE�%LA��KS in house : � .5 e����r- Y e i,���� �: � � �-� u� , <br /> C ) � � �- .� t s �_ <br /> p r �. <br /> . O � - � <br /> z � • ' � <br /> �` . _26 . <br />