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'` CHECK OFF LIST FOR ISSUA1�tCE OF PER�ti1ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 32 3�7 CA s� �+�-� <br /> PID: <br /> DESCRIPTION OF WORK• Z,,� 5-�.,/L, <br /> • __ <br /> ZOrZ\TG REVIEW BY: DATE APPROVED: -7-� 5 • �� <br /> BUII�DTivG REVIE`V BY: DATE APPROVED; '1- ��� �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No . <br /> PLAN REVIEW Yes _1� No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�L�1G CH�CK LIST Zoning Disuict: ivo c,�-�,e„�-�,v <br /> Fire Department: Post Office: School Disuict: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: �^' � � <br /> Proposed Setbacks: <br /> Fron[(L-e�e): t Z.5' � � Right Side: 1 Z� r' <br /> Rear (Street): 1 S`a f �= Left Side: Z S� �' <br /> Adjacent Structures: �4c-r7-rq c,��e.� Wedand: �.J I lir- . <br /> Building Heigh[: Def. Hgt. Peal:Hgt. --- <br /> L,ot Covera�e: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: !# � Resolution Date: � <br /> Shoreland District: �{e 5 <br /> Avg. Setback: c�,� Bluff Setback: N I� L,ocCoverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' 2�`'70 <br /> 500-1000' <br /> Hardcover Variance Recuired: Yes No O� Date of Council Approval: — <br /> RE�IARKS (in house): _ <br /> 7 <br />