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� CHEC�i OF'F' LIST FOR ISSUA��CE OF PER�.l�17TS <br /> FOR OFFICE USE ONL.Y . � . <br /> �I3DRESS OR LEGAL: �3�U �'�x �-i A-UP N � <br /> PID: <br /> DESCRIP'I'ION OF�ORK: N C�,J �J�_� <br /> . <br /> ZOrZtiG REVIE��%BY: DATE APPROV�D: y � �-� j <br /> BUII1D .7�TG REV]E�Y BY: , �,,,,-:-: . D�TE APPROY�D: �._ i � ..c:� <br /> F"EES TO BE CH..4RGED: Niisc. Fees Calculated By: <br /> pEg�r Yes i� No �� <br /> PLAN REVIEW Yes t/ No S�`W�R CONNECTION <br /> STATE SURCHARGE Yes �/ No ��TATERCONNECTION <br /> 1�i,TVESTIGATION FEE Yes No PARK�E <br /> SAC Yes � No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO\"L\rG CH�CK LIST zoning Districr. �Z�� �i� _ . <br /> Fire Depa.rtment: /11AP� P(A�,r� Post Ofuce: q� ' �t ' School District: D(U�� ' ' <br /> Lvt Area: Sq.ft. SU,v b�. e Acres !. 1'-f � Width /L(O Depth 3 5-?.(0`�( f�v-P <br /> St:rve;� Sub�itted: Yes�_ No Dace of Survey: `� 3 �� <br /> Preposed Setoac!a`• <br /> F.ont(�.�e'j: Zsl� '�- RiQht Side: �3� •Z <br /> Re2.r (�aet): `'�3j� t Left Sidz: � 2�J <br /> Adjzcent Struccures: S�D� � tiVetland: N �� • <br /> Buildin�Hei�ht: Def. H�t. n! I/1- Pe�k H�t. N �� <br /> Lo[ Cover2�e: � •�� <br /> Gradin�: S�afc Approval Date: ---- gy; �-- Council Approval Date: — <br /> Sepcic: Staff Approval Date: — By: ' <br /> Zoaing File: n — Resolution: � r Resolutioa Date: � <br /> Shoreland Districc: N� <br /> Avg. Setback: Blufi Setback: Lo[Cocera�e: <br /> E���� proposed <br /> Hardcover: 0-7�' <br /> 7�-250' - <br /> 2�0-500' <br /> 500-1OQ0' <br /> Hardcover Variance Required: Yes No Date oE Council Aoproval: �_ <br /> REI�LAR�iS (in house): <br /> 7 <br />