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a ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: I L S �S w�.�� ,4v-2 <br /> PID: <br /> DESCRIPT�ON OF WORK: �Q�� <br /> ZO�G REV�W BY: DATE APPROVED: �—t2 -b� <br /> BUII,DI�iG REVIE`V BY: DAT'EAPPROVED; $ -c i-u� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVITT Yes ,/� No <br /> PL?.1�T REVIEW Yes c/ No SEWER C0ITNEC"IION <br /> STATE SURCHARGE Yes ,/ No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning Discricc: . <br /> Fire Department: Post O�ce: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes 1� No Date of Survey: 9-2S-93 <br /> Progosed Setbacks: � � <br /> Front('L�ce): I�`� Right Side: �7 <br /> � � ' <br /> Rear(�t): 6� Left Side: � <br /> Adjacent Structures: �i� �Vetiand: Nl� <br /> Building Hei;h[: Def. Hgt. N!� Peak Hgt. .vj/F <br /> Lot Coverage: !3�o t <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # � Resolution: # Resolution Date: � <br /> Shoreland District: /�� � <br /> Avg, Setback: Bluff Setback: I.ocCoverage: <br /> Ezistine Proposed <br /> Hazdcover: 0-?5' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />