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- CHEC�i OF'F LIST FOR ISSUA.i�rCE OF PERlI'1ITS <br /> _� FOR OFFICE USE ONI,Y - � � � . <br /> ADDRESS OR LEGAL: ��lo U �W�S 1`�L- ��� <br /> PID: <br /> DESCRIP'I'IONOF�ORK: iQ��-p.L�-4-c� CQo42�4� <br /> - <br /> ZO�G REVIE�'V BY: � DATE APPROV�D: (o-(5'-o� <br /> BUILDIiYG REVIE�BY• DATE APPROVED: � o -� �, -c� <br /> FEES TO BE CH.4RGED: Misc. Fees Calculated By: <br /> pEgIVIIT Yes � No �• <br /> pI,AN REVIEW Yes �/ No SEWFR COi�1NECTION <br /> STATE SURCHARGE Yes v No WATERCONNECTION <br /> INVESTIG aTION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEC"ITON <br /> Number of SAC�Units OTHER (specify) <br /> ZONLIIG CH�CK LIST zoning Districr. 12 R -uA <br /> Fire Deparcment: tA Post Office: ��v� 1i4���-t-J School District: �2 0�0 � <br /> L,ot Area: Sq.fr. rvu c�,yN�e Acres Width Depch — <br /> Surve;� Sub�itted: Yes_� No Da[e of Survey: �o'`�''�� <br /> Proposed Secbacks`. <br /> F:ont(L�ke): �� Ri;hc Side: 7 5�� <br /> Rear (Street): �$O I,eft Side: 4't3 <br /> Adjaceac Structures: � b �Vetland: N /A- . <br /> Bu�din� Hzi�ht: Def. H�t. 0 .K Pea'.:H�t. — <br /> Lot Covera�e: /`� (� <br /> G�adin�: Staff Approval Date: — By: — Council Approval Date: <br /> Septic: Staff Approval Dace: — By: — <br /> Zoaing File: # Resolution: n Resolutioa Dace: <br /> Shoreland Districc: N � <br /> Av�. Setback: Blufi Secback: Lo[Co�•era�e: <br /> E���� Proposed <br /> Hardcover: 0-7�' <br /> 75-250' <br /> ti0-SQO' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes No Date of Cou�cil Approval: <br /> RE�IAR�;S (in hou.se): <br /> 7 <br />