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f 1 <br /> CHECK OFF LIST FOR ISSUANCE OF PER HTS <br /> FOR_OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S 7 -7-� o/cD u 9L`1S�G N C <br /> PID: <br /> DESCRIPTION OF WORK: ooI <br /> -------------------------------------------------------------------------------------- --- <br /> ZONING RE VIE TV BY: — DATEAPPROVED: f <br /> B UILDING REVIEW BY. DATEAPPROTIED: b zo -0 6 <br /> FEES TO BE CHARGED: Alfisc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes v"" No SEWER CONNECTION <br /> STATE SURCHARGE Yes J No WATER COiVNECTION <br /> INVESTIGATION FEE Yes 1Vo (I--,' PARK FEE <br /> SAC Yes tVo _�,� SITE IIVSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: ' <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq ft. Acres 2 -u�, Width Depth <br /> Survey Submitted: Yes No Date of Survey: 8- Z.- 95 <br /> Proposed Setbacks: pc;l : e-A4 4%I t- C.�-kv 4%Aat roc.+' <br /> Front(Z4ik--4 bQ JAWt��/lWSo,, R4gl�t Side: b ejr\tvkd Y1 Cu se-- <br /> i ujQ Q t P/r5k' C <br /> Rear(�t�eat}. l£j S Lei-&de: �U t� �O `�- <br /> p®cal fo hwse.—l(o """ I <br /> Adjacent Structures.-p-01 I- UkAyg"c4 YVetland: �Q firl I c�� W ACI ���`�t Ms. <br /> roc"-iG�' <br /> Building Height: Def. Hgt. /(/4 Peak Hgt. /y i3- �,4q('Ld row <br /> �1VN� / <br /> Lot Coverage: ll/� 1 Zf Z� 4�'1 q( d10 <br /> � �c ks Ole- <br /> Grading., <br /> jcGrading.• Staff Approval Date: �/ By: /Council Approval Date: <br /> Septic: Staff Approval Date: O4 By: Wv <br /> Zoning File: 9 h Resolution: # Resolution Date: <br /> /�4 <br /> Shoreland District: /" <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Etiisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Cotincil Approval: <br /> REMARKS(in house): 1 r-� �"'�6tK vo <br /> 31 <br />