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� t <br /> CHEC�K OFF i,IST FOR ISSUANCE OF �'E�'VIITS <br /> FOR OFFICE USE ONLY <br /> ADDRE�S OR LEGAL: C��S 'S�t%�C� (� i �I �c� <br /> PID: <br /> DESCR�'I'ION OF WORK: <SG' A�( -�sa�'!'Yi src(� <br /> c�t (ivl <br /> 11YJ�:...►'�..�.�tx.m A�/�/LL?.JG"`_ ------------------------�-------------------- <br /> ------ _S_1 ----------- <br /> ZO�G REVIE`V BY: �� DATE APPROVED� 7 <br /> BULLDING REVIEtiV BY: �,,,�,__ . DATE APPROVED: (, - z S - a � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`�1 Yes � No SE�VER CONNEC`ITON <br /> STATE SURCHARGE Yes _f� No tiVATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------_---------- -- <br /> ZONl1�tG CHE.CK LIST Zoning Districr. L.� ' I I� �, <br /> Fire Department: Pos[Office: Schaol District: <br /> �ht�1n•co. <br /> L,ot Area: Sq.ft. Acres `f; 7f5 Widch Depth <br /> 5urvey Submitted: Yes ✓ TIo Date of Survey: ���4 _ + � S�� <br /> {��ticllK� �'"'"` . <br /> Proposed Setbacks: �,��" s � . <br /> Froat��}-- 114 q�L�tSide: <br /> S`"' ,,,ic.s�- <br /> Rear (Street): �G I�e€t Side� ����+ <br /> �P.,r Crn t Wetland: s.�p1'Id� C��.S hd� ��,,� <br /> Ad;a....... 1c Cure_: — �'J��1`p lo� <br /> Buil�ling HeiGht: Def. Hgt. /'1�) Peak Hgt. <br /> �s J2r�tL'�'�evtf S <br /> Lot Covera�e: h/3 <br /> Grading: Staff Approval Date: By: Council Approval Da[e: <br /> � ,�� � C, ,(' �� f- /� <br /> Septic: Staff Approval Date: (�Q•v��'3 "D�' �Y: ( .t_/v \ <br /> c. . <br /> Zoaing File: � Resolutioa: � Resolution Da[e: � � <br /> Shoreland District: � <br /> Avg. Setback: /l� Bluff Setback: L.ot Coverage: <br /> Ecistin� Proposed ,ta!lU i7¢gy(•y Al�v� <br /> Hardcover: G-7�' �1/�� �'IGuS� /5 �h <br /> 75-250' `l�1 5 OC�-/ooc� � z�� <br /> 2�0-500' no cl�r►o� h0 �(cs �1'1 <br /> 500-1000' � �t(�. b�' ��� <br /> is n�wk.u'�rwa-r 3s9v <br /> Hardcover Va:iance Rzquired: Yes No Da�e of Council Approval: <br /> �EtiL�RKS (in house): <br />