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-- �HEC�K OF`F i�IST FOR ISSUANCE 4F �E�2.i'YIITS <br /> � FOR OFFICE US ONLY��� � <br /> AADRESS OR LE�AL: � <br /> PID: <br /> DESCRIP'I�ION OF WORK: �LC C �� ` "� <br /> -------------------------------- <br /> ------- G REVIE�V ]3Y: --------1_�_�___ DATE APPROVED: q � (� U <br /> ZO� - <br /> , <br /> � � . DATE APPROVED: G I�- <br /> BUiLDING REVIE'FV BY: _ <br /> --------- ---- ---------------------------=----------------------------� . <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> pEg�T Yes _1v� No <br /> PLAN REVIE`V � Yes / No SE�VER CONNECTION <br /> STATE SURCHARGE Yes t/ No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No _�/PARK FEE <br /> SAC Yes No �/ STTEINSPECTION <br /> Number of SAC Uruts OTHER (speci�y) <br /> ------------------------------------------------- - � <br /> ZON'L�IG CHE.CK LIST Zoning Districc: . <br /> Fire Deparcmenc: Pose.Office: School District: � <br /> Loc Area: Sq.ft. Acres Widch Depth <br /> 5urvey Submitted: Yes �/ No Date of Survey: � S <br /> Proposed Setbacks: t •� `�,� � I <br /> Froa[('T "�r: l�pt �Side: <br /> � <br /> Rear(�` Q,�l-�UU��� Left Side: t��.�l'l'�'� � <br /> Ad;aceIlr .Cr;llCh1IZ5; �47T�?-C�I-I-�� Werland; A� <br /> auilclin� Hei�t: DeE. Hgt, �J/� Peal:Hgt. —' <br /> Lot Covera�e: U 1�— <br /> Grading: Staff Approval Date: �t/(/-� By: — Councll Approval Date: <br /> Szptic: Staff Approval Date: � �Y� .���►4a' <br /> Zoaing File: � Resolution: n Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: B!uf�Setback: L.otCovera�e: <br /> Ecistin� Proposed <br /> 0 <br /> Hardcover: �-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1QG0' <br /> Hzreco��er Vzi2ace Required: Yes `�c Da�e o�Cou�cil Approvz!: <br /> RE�L�I�S (in house): C�,�bl.� C�cLC�- �2- S i�. <br /> 4� �� � �a� <br />