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� CHECjK OFF i.IST FOR ISSUANC OlE �ER.IVIITS <br /> . FOR OFFTCE USE ON Y <br /> ADDRESS OR LEGAL: � <br /> PID: <br /> DESCR�'I'ION OF WORK: � cc�R. o�- �w s.� <br /> ------ C�A-�r���'C�_S c�v^ a�,.�8.._52 __ ------------------------------------------ <br /> ZO.�� G REVLE'�V BY: �, DATE APPROVED: 4_/r(Z�0(o <br /> SULLDING REVIEtiV BY: DATE APPROVED: c�- �y-0 6 <br /> FEES TO BE CHA.RGED: Misc. Fees C Iculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIE`V � Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes � No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------- <br /> ZO�tG CHE.CK LIST Zoning District: � . <br /> Fire Department: Post O�ce: School District: <br /> L,ot Area: Sq.ft. Z�� Acres Width Depth <br /> Survey Submitted: Yes �_ No Date o Survey: ✓l" 7 D.S <br /> Propose�Setbacks: � � ` _ �,,,,ts�.�.�s�c,(�^e. <br /> roac(-�slce): �xcnu.c.Qs rn�h Right Side: r2�f' l� <br /> s�� , 5[ct2 3d�� <br /> u.�Cs{' <br /> Rear{�reet): �,cc.oR�3 �.�€t�ide: <br /> N'��,� . NL� • <br /> Adjacent Structures: �-k Wedand: e 3 u-t �� 'P�/��� �S d'�'e� �Z'S ` <br /> �'� J <br /> Builuin, Heioht: Def. Hgt, D•k— Peal:Hgt. <br /> Lot Covera?e: N(✓1 <br /> Grading: Staff Approval Date: /V!/-� By: — Council Approval Date: — ' <br /> Septic: Staff Approval Date: n/j�- BY� r <br /> Zoning File: # — Resolutioa: � Reso ution Date: _ <br /> Shoreland District: /vC� <br /> Avg. Setback: Bluff Setback: Lo[Coverage: <br /> Eustino Proposed <br /> Hardcover: 0-75 <br /> 75-250' <br /> 2�0-5d0' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes No Date of Council Approvzl: <br /> RE�LARKS (in house): <br />