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� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS p <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3C��1 S u SSE X (Zo p►d <br /> PID: <br /> DESCRIPTION OF WORK: . N tc� �z.�.5 ' <br /> --------------------------------------:----�-�= -- <br /> ZONING REVIEW BY: cQ DATE APPROVED• t 9$ <br /> BUII.DING REVIEW BY: DATE APPROVED: i -zm-9� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓' No <br /> PLAN REVIEW Yes ✓' No SEWER COrfNECTION <br /> STATE SUR�HARGE Yes v No WATERCONNECTTON <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Y;;s � No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECB LIST Zoning District: 122-l L3 <br /> Fire Department: (�t�rv� L.r►�c.� Post Office: �.c�s�LA K-�c School District: bRONO <br /> Lot Area: Sq.ft. Acres Width IR�'2�l�ult�2 Depth _ <br /> Survey Submitted: Yes_� No Date of Survey: 1-l-�i� <br /> Proposed Setbacks: ' <br /> Front (�.t�e): _$'0.�1 Right Side: <br /> Rear(�reet): c1�o. ''�. Left Side: �/�7� t <br /> Adjacent Structures: N�A Wetland: �j 3� <br /> Building Height: Def. Hgt. 2 3 Peak Hgt. 31 <br /> Lot Coverage: !V�A <br /> Grading: Staff Approval Date: 1- ?.�- 9� By: � Council Appraval Date: — il <br /> Septic: Staff Approval Date: l�,�" ! � By: �✓" � <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: „ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � �. . Existing Proposed <br /> Hardcover: 0.75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): __ <br /> � 26 <br />