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CHECE OFFLIST FOR ISSUANCE OFPERMITS <br /> ' FOR OFFICE USE��ONLY <br /> ADDRESS OR LEGAL: t j� � � ,4�e 1�� . <br /> P�D: <br /> DESCRIPTION OF WORg: x (} (� S ����� <br /> ZONINGREVIEWBY.• DATEAPPROVED: P'i y O�'j <br /> BUII.DING REi�IEW BY.• DA7'EAPPROVED:�g-S _v g5 <br /> FEES TO BE CAARGED: Misc, Fees Calculated By.• <br /> PERMIT Yes_� No <br /> PLAN REVIEW Yes_.�/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> 1Jumber of S�1C Units � OTHER (spec�) <br /> ZONIIVG CHECg LIST Zoning District: — � <br /> Fire Department: Post O�ce: School I3istrict: <br /> Lot Area: Sq.ft. • Acres �.S I1t'i Width Depth <br /> Survey Submitted.• Yes No Date o S <br /> .f �►'eY•' �Y�C�I h 2rv�►� � .. <br /> Proposed Setbacks: _ S�''� tvc�v� �,�j � <br /> Front(Luke): Right Side: � �.,���� p,�,� <br /> Re�(Street): Left Side: .�- O K — laClcl i �� <br /> ►5 w!�I V1 �l�t��Q �Y1GuS�,, <br /> Adjacent Structures: _�� Wetlana!• �/�. : <br /> Building Height; Def.Hgt. � (�, Peak Hgt. <br /> Lot Coverage:_ (a �. . <br /> Grading: Stcr,�"Approval Date: By.• CouncilApproval Date; <br /> � Septic: StafJApproval Date: gy; � <br /> Zoning File: # Resolution: # Resolution Date: - <br /> Shoreland District: � ��' MCWD Permit: <br /> fI vg.Setback: Blu,f,�'Setback; Lot Caverage: <br /> Fxisting Proposed <br /> Hardcover: p_�S� <br /> 75-250' <br /> 250-SDO' <br /> 500-1000' <br /> Hardcover Yariance Required.• Yes No Date of Council Approval: <br /> REMARKS(in house): � <br /> 33 <br />