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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2350 west (AiPNIA r✓-1 GLV <br /> PID: <br /> DESCRIPTION OF WORK: (D ft i tWO se / A t n oA) -fitot e G4,vv pit <br /> ZONING REVIEW BY: `v& DATE APPROVED: /0 -r S-1 s <br /> BUILDING REVIEW BY: U 9 ( .�. DATE APPROVED: /n •/s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes u No <br /> PLAN REVIEW Yes !,-, No SEWER CONNECTION <br /> STATE SURCHARGE Yes i` No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: Q-L <br /> Fire Department: (,tom,(.A((.e Post Office: (oonJ(,CA tri School District: OR-0130 <br /> Lot Area: Sq.ft. NO 0047 <br /> Acres Width Depth <br /> Survey Submitted: Yes p- No Date of Survey: 0.0 pl(.AZ <br /> Proposed Setbacks: <br /> Front (Lake): _ 1( ( ± Right Side: QZS' t <br /> Rear (Street): 2 30' * Left Side: 310 <br /> Adjacent Structures: N/A- Wetland: N/A- <br /> Building Height: Def. Hgt. 0•fL Peak Hgt. — <br /> Lot Coverage: /v (4 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 240'( Resolution: # Resolution Date: <br /> Shoreland District: NO <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 />