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' � CHECK OFF LIST FOR ISSUANCE OF PERI�IITS � , <br /> FOR OFFICE USE ONLY • . <br /> ADDRESS OR LEGAL: Z� u�--1 g v f,�A 2 W u c�d.� d2 <br /> PID: <br /> DESCRIPTION OF WORK: �3,/��w�„at� F�,��4 t�+ /2 r3.eu�s / 3 s�� �'� <br /> ` _____�_________�_ -- 't"�? -- –�c=�,�oti <br /> ZOrZti G REV�E�Y BY: DATE APPROVED: �-��=nu <br /> �. BL�Dl�TG REVIE r�BY: � � DATE APPROYED; �-�`.�o . <br /> . . � :_________ . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v� No <br /> pI,AN REVIEW Yes ,� No SEWER COYI�'ECTION _ <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No P��E <br /> SAC Yes No SITEIN�PECITON <br /> Number of SAC•Units OTHER(specify) <br /> ____------- - --- --------- <br /> ZO�Z`�'G CHE.CS LIST Zoning Districr. �-I(� <br /> Fire Department: ��T Post Office: l.onr 6 tM� School D:strict: (h•���v� <br /> Lot Area: Sq.ft. N'n C/�h4w�,� Acres � Width -- Depth –'" <br /> Survey Submitted: Yes � No Date of Survey: ,�,�;/3 9� <br /> Proposed Setbacks: , � � <br /> � <br /> Front(L-akc): �� Right Side: � � - � . <br /> Rear(S�aec): I 3 O Left Side: ')� � � <br /> AdjacentStructures: ATnac.N-L'� Wetland: N/� <br /> Building Hei�t: Def. Hgt. Nd C�rt�G Peak Hat. `— <br /> Lot Coverage: �-1� ' <br /> Gradin�: Staff Approval Date: By: Council Appro�-�1 Date: <br /> Sepdc: Staff Agproval Date: By: <br /> Zoning File: # Resolution: #__ Resolution Date: <br /> Shoreland District: <br /> �,�'' Avg. Setback: Bluff Setback: i-O�CO���e� . <br /> Existmo Progoscd <br /> Hardcover: 0-75' . <br /> 75-250' <br /> 250.500' � <br /> 500-1000' <br /> Hardcover Variance R�quired: Yes No Date of Council Approval: <br /> REtii IARKS('in house): � <br /> 7 <br />