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• ��� � 0. , , • . <br /> CHEC)K OFF i�IST FOR ISSUANCE OF �E�11ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � •a o�� �'�"�" �Je � <br /> PID: <br /> DESCRIPI'TO�i OF WORK: oo � <br /> -------------------------------------------------------o----- <br /> ZO�TG RE'VLE`V BY: ,� � DATE APPP.OVED: • ��- � <br /> BUII�DING REV��V BY: . � DATE APPROVED; 7 <br /> FEES T4 BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEtiV �� Yes No SE�VER COiVNECITON <br /> STATE SURCHARGE Yes —� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No -� STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ----------------------------- g . <br /> ZON�i�tG CHE.CK LIST Zonin District• (.�- I !� . <br /> Fire Depart.ment: Post O�ce: School District: � � <br /> Lot Area: Sq.ft. Acres Widch Depth <br /> 5urvey Submitted: Yes ✓ IYo Date of Survey: _$//�/R� <br /> . (�„��a�K9 �,,,�,�.,sw�,) <br /> Proposed Setbacks: �i�ndhas�- lgs� . . <br /> Froat(�-:der�: �Side: _ <br /> c.� . �� i <br /> Rear(�eetj: l � -�t Side: <br /> d�.lc- � <br /> Adjacent Structures: � Z Wetland: <br /> Buildin; Hei?�at: Def. Hgt. �� _ Peal:Hgt. h/.�- <br /> Lot Covera�e: 11/a' <br /> Grading: Staff Approval Date: N� GN'�^5'e By:p�� Council Approval Date: ' <br /> Septic: Staff Approval Date: � �Y� L�v <br /> Zoaing File: /# Resolution: # Resolution Date: _ <br /> Shoreland District: � ���^ p�^'�d �^^K���`�� ��'•�� <br /> Av;. Setback: hp Bluff Setback: L.ot Covera;e: 0� <br /> E�S��o Proposed <br /> Hardcover: 0-75' O .--Q----- <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Iv'o Dacz of Council Approval: <br /> RE��L4RKS (in house): A�I Ac�w��c�vs� c s �-^'�� �r� 7 w2�-(2.�b <br /> vr <br /> 5 � <br /> � Z.00.�� /�P_.✓i,C1� '�t�Ld <br /> �� V <br />