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��iEC�K OFF i�IST FOR ISSUANCE ��F PER�'VIITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 2`�-4 l�{ C�Qt�.v�nA�rv ST2.�-�=r _ <br /> PID: <br /> DESCR�'I'ION OF WORK: �`2,�vwb��.� ►4�o a �-r�c��S � aa��r►��,��f.�h� ,pra. <br /> ZOYL�tG REVIEtiV BY: `---^—�____�__ AATE APPROVED: �r - � -o�- <br /> BUILDII�IG RE�tiV BY: DATE A.PPROVED: e-2q.��. � <br /> F'EES TO BE CHARGED: Misc. Fees Caiculated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEtiV � Yes �/' No SE`VER CO�INECTION <br /> STATE SURCHARGE Yes � No `VATERCONNECTION <br /> IN�IESTIGATION FEE Yes No _�/ PARK FEE <br /> SAC Yes No // SITEINSPECTION <br /> Number of SAC�Units OTHER (sgecify) <br /> ------------------------------------------_ _ <br /> ZONNG CHE.CK LIST Zaning Discricr. �–�G�' � . <br /> Fire Department: Post Office: School District: � <br /> Lo[ Area: Sq.ft. 00 Acres <br /> Width I�10� Dep[h Z��-- <br /> Survey Submitted: Yes � I�10 Date of Survey: (t Z po <br /> Proposed Setbacks: � I� <br /> Fron[(.�dce}: <►�rh S.S, Fa�t Side�$�1'tOr�lYl��� 3�'f'� � �G[.f q�'��/G ZO�A/,�i� <br /> b 6-f ��lde: - .S <br /> Rear �Stree[): <br /> Adjacen[ Structures: N 114 Wettand: <br /> Buil�lin� Hei�t: Def. Hgt, �,Jo intCi•t.�.s� Peal:Hgt. <br /> Lot Covera�e: v -k- <br /> Grading: Staff Approval Date: --� By: Council Approval Date: ' <br /> Septic: Staff Approval Da[e: /�//�- �Y� <br /> Zoni.n� File: ��D"3ZZ2 <br /> Resolution: # Resolution Date: � O�C YA�Ah�it� O� <br /> E:c�-v��n�5 �c�nc� �cp�le.vt� (ul- (hs.. <br /> ShorelandDistrict: �/ y D(oS S� 8•�4� <br /> Av�. Setback: n q Sluff Secback: Lot Coverage: � <br /> E�isting Proposed <br /> Hardcover: 0-75' __���n __1� <br /> 75-250' �,�� ,� <br /> 2�0-540� ZCj.Z2 ��r � r'1c��c�¢.S <br /> soo-i000� _Llx� �3 dn�o.•TexP� <br /> Ha:dcover Va:iance Required: Yes � `�o Da�e oE Council Approva!: <br /> l.�U� � YZtUI <br /> RE� 4RKS (in house): K�� � � v �' <br /> b <br />