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CHECIi OFF LIST FOR ISSUA.��TCE OF PERLtiIITS <br /> _ FOR OFFICE USE Oi�tL.Y � . <br /> ADDRESS OR LEGAL: Z.'-� 31 C�4 2 v✓t Ay�r S T <br /> PID: <br /> DESCRIPrI'ION OF�ORK: �,��s��� � /�ad 2 — <br /> , � <br /> ZO�Z\G REVIEti�BY: /�a DATE APPROVED: <br /> BUILDT�TG REVIE�BY: � ._ . DATE APPROYF�D: L- z-z =�> <br /> FEES TO BE C�LARGED: Niisc. Fees Calculaced By: <br /> pE�N1IT Yes c/ No • <br /> pI,AN REVIEW Yes No � SEtiVER CON�tECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> IIv'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECI'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZOti�I.�i G CH�CK LIST zonin�Districc: /U� G ��r9i"� <br /> Fire Department: Post Ofuce: School Discrict: � � <br /> Loc Area: Sq.ft. Acres idth Depth <br /> Surve; Sub�itted: Yes No Date of Survey: <br /> Propased Se!backs: <br /> Front(La.�Ce}: RiQht Side: <br /> Rear (Street): Left Sidz: <br /> Adjacenc Structures: �Ve and: • <br /> Buildin� Hei�ht: Def. H�t. Pe �H�t. <br /> Loc Covera�z: <br /> Gradin�: Scafi Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Dace: y: <br /> Zoaing File: � Resolucion: � Resolution Date: - <br /> Shoreland District: <br /> Av�. Setback: Blufi Setba k: Lot Co�•era�e: <br /> Existm� Proposed <br /> Hardcover: 0-7�' -- <br /> 7�-250' <br /> ti0-500' <br /> Sd0-1000' — <br /> Hardcover Variance Required: Yes N Date of Council Aoproval: <br /> ��1AR�:S (in house). <br /> 7 <br />