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, �CTiE�IE� Ok`F' i�IST FOR ISSUANCE Ok' �E�tMZTS <br /> FO �OFFIC���� . . <br /> ADD�tESS OR LEGAL: 6 <br /> PXD: �6v s9 �r. <br /> ]7ESCRIP'i�SO�T OF WORK: 0�,-r�.��x� ��Af��--------------------------------- -— <br /> ---- G RE'V�tiV BY: ^' -- �' DATE APPROVED: I r-�6-�� <br /> ZOY.�i T . D,p,,TE APPROVED: t 1 -�6 •e�� . � <br /> BUILDIl�IG REVIE��Y BY: ---------------------------=------------------------------- <br /> � _____--.,--_----___-- — <br /> FEES TO BE C��GED: Misc. Fees Calculated By: <br /> P��T Yes � No _ <br /> PLAN REVIEtiV �� Xes � No __ SE�VER CO�EC'I'XON <br /> tiVA'I'F:R.CONNECTION <br /> STATE SURCHARGE �'eS � N0 -- ���{ gEE <br /> IrIVESTIGATION FEE YeS N0 � gTTEINSPEC:TION <br /> SAC Yes No -� � <br /> OTHER (specify) . <br /> --Number of SAC�Units --------------_----------------------------------------------------------------------- <br /> ZOi�Ii G C�.CK LIST zoning Discricc: � • <br /> � Fost Office: Schaol District: • ' <br /> Fire Department: _ . � <br /> L,ot Area: Sq.ft. Zo�y�eK Acres ' Width Depth — <br /> Survey Submitted:� Yes <br /> �_ �Q Date of 5urvey: 3-ZS-93 <br /> Proposed Setbacks: o , �� ' : <br /> Froat(Lake): ��`'� Ri�.t Side: , <br /> Rear(Street): i 5 Left Side: S� <br /> Ad;acent St:uctures: ._ f�� _ Wetla.nd: i <br /> 8uilrlin'Hei�t: Def. Hgt, O��_ Pea1:Hg[. — <br /> Lot Coveraoe: I 5°��— <br /> B Councll Approval Date: ' <br /> Grading: Staff Approval Date: r�.rtl G���e— Y� <br /> Septic: Staff Approval DacP: <br /> 1� � �Y,: ����(! <br /> Zoain� File: ��_ Resolutioa: n - Resolution Date: <br /> Shoreland Districc: �0 - g�uff Setback: Lot Cove��e: I S`'�o <br /> A,vg. Setback: Proposed <br /> Ecisti.ag <br /> Hardcover; d-7�' <br /> 75-250' — <br /> 2�0-540' -- <br /> 5C0-lOGO' <br /> � Da�z a`C��.L.cu ;�p:�',_�. <br /> Ha�dcover V�:2�ce Rzquired: Ye� '�� � <br /> RE��L�S (inhouse): <br />