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. , CHECK OFF LTST FOR ISSUANCE OF PERiI�iITS <br /> � ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ 35�dC� l��y 5 t✓J L t'�� . <br /> PID: � <br /> DES CRIPT'ION OF WORK: ��o,� � 10,� . � <br /> ZOYTi�tG REVIEti� BY: N . N_ DAZ'E APPROVED: �o-iz.-� ` <br /> BUII..DT.NG REVIEti'V BY:. � DATE APPROVED: (,v= �Z .-�'i fa, <br /> �EES TO BE C�-iARGED: � � Misc. Fees Calculated By: ~� <br /> PERMIT Yes _� No . <br /> PLAN REVIEW Yes v� No SEWER CO�INECITON <br /> STATE SUR`H�.RG� yes �- No �ATER CO�INECITON <br /> INYESTIGAZTON-FEE Yes No � PARK FEE <br /> SAC Yes No — SITEINSPECITON <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------- ------ --- <br /> ZONING CHECK LIST zoning Districc: C� -(/� � <br /> Fire Departmenr. ,�tr L/�cC.� Post Office: (,��c' School District: p/Ge,�/v ' � <br /> Lot Area: Sq.ft. /�10 C.(,fiq-,�1c�,e Acres — tiVidth DePth --- <br /> Survey Submitted: Yes_;� No Date of Survey: 3�(�—�"y� <br /> Proposed Setbacks: <br /> Front (La.�Ce): , (b C�` Right Side: 3 v � <br /> c <br /> Rear(Street): _ ��6 Left Side: I 2`t <br /> Adjacent Structures: _ tiVetland: /1��/� <br /> Building Height: Def. Hgt• c�� Pea.k Hot. <br /> o C� .(� <br /> Lot Coverage: _ Gi/�� <br /> Gradin�: Staff Approval Date: G• �L By: � Council Approval Date: — <br /> Septic: Staff Approval Date: �� gy; � � . <br /> Zoning File: # Resolution: # — Resolution Date:� � <br /> Shoreland Dis�ict: �5 � <br /> Avg. Setbac : u R.o�•--- . Bluff Setback: �C/(fz L.ot Coverage: il1�r o� <br /> � ' E���� Proposed � <br /> Hardcover: 0-75' <br /> 75-250' . . ���� - <br /> 250-500' 7 . ' .� c� <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No�, Date of Council Approval: <br /> . � <br /> REI�ZA.RKS ('in house): <br /> � �__ . • <br /> : �>� _. 26 <br /> . ��A_ . . <br />