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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ON Y <br /> ADDRESS OR LEGAL: /51. 7 20 (.,09-(24/ <br /> PID: <br /> DESCRIPTION OF WORK: 8 X cc-ch ox.' I- CIG <br /> ZONING REVIEW BY:: Qi' DATEAPPROVED: /O Z 2 d <br /> BUILDING REVIEW BY:: DATEAPPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> 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 OTHER (spec) <br /> ZONING CHECK LIST Zoning District.77X-T <br /> Fire Department: Post Off ce: //o�_. School District: <br /> Lot Area: Sq.ft. Acres 3: / ( Width Depth <br /> Survey Submitted: Yes 1 No Date of Survey: / 97 7 <br /> Proposed Setbacks: ! f O KFront{hake* Right Side: <br /> Rear(Street): hi ` Left Side: C K <br /> • 1pp Z O U 4'�9lrJIL�S <br /> Adjacent Structures: Wetland: 300 <br /> Building Height: Def. Hgt. 17 Peak Hgt. <br /> Lot Coverage: 1 irjt <br /> Grading: Staff Approval Date: P7 i By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: ��(� / MCWD Permit: <br /> Avg. Setback: Bluff Setback: 4 Lot Coverage: Ii 4 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-550' 30v /)OF m riwe.. Gyt l ZS d <br /> X89 n�F (11/141-71 3 0/C) <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in hou e): work_ eine 1-701-c o1- &y y b.J4-- /op s <br /> (iQulrtf ,/ <br /> 33 <br />