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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ #/�Q xt/o L i h e— <br /> PID: <br /> DESCRIPTION OF WORK t4) P 7CU 4e-, OVI <br /> ZONING REVIEW BY.• DATEAPPROVED: Q <br /> BUILDING REVIEW BY: _ DATEAPPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.- <br /> PERMIT <br /> y.PERMIT Yes No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes_�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units — A,i,-,-„ OTHER (specify) <br /> ZONING CHECK/LIST Zoning District: r16 <br /> Fire Department: -61l 1ca."Post Office: Nia School District: GY C416 <br /> Lot Area: Sgft. Acres qc-4-- Width Z Z( Depth Z <br /> Survey Submitted: Yes No Date of Survey: Z y/0(0 <br /> Proposed Setbacks: p Nc"IA ' <br /> Front 4aka4: �U Z MghWSide: —�( <br /> Rear 4 Slow#: Cv 44 Side: <br /> Adjacent Structures: Weiland.- <br /> Building <br /> etland.Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: h <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By; <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: N1CWD Permit: <br /> Avg. Setback: Bl ff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-?50' <br /> 150-500' <br /> 500-1000' <br /> Hardcover Variance Required.- Yes // No Date of Council Approval: <br /> REMARKS(in house): �vdt&gcl LL a rOV4*rA c/S- P"/- (,I 021AM-- gal 1,eme <br /> G� aza <br /> c/S <br /> 33 6,CP1,X d � <br /> C4 (Ope ori <br />