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, • . <br /> CHECK OFF LIST FOR ISSUANC OF PERMITS <br /> FOR OFFICE USE O Y <br /> ADDRESS ORLEGAL: �Y65 Ay.SiD� ✓20 <br /> PID: <br /> DESCRIPTION OF WORK: �r� ,n�N /�a/�-c�f+ � <br /> ------- ----------------___-------------------------- <br /> ZO.�i TG REVIEW BY: ��„� (Qiv�...r— DATE APPROVED: �B �- i 3 -o�"� <br /> BUILDING REVIEW BY: �,Q� (Q�„�— DATE APPROVED: -� -► 3 -aS <br /> FEES TO BE CHARGED: Misc. Fees C lculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes � No SEWER CO�TNECTTON <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 /> ---------------------------------------------------------------------- ----------------------------------------------- <br /> ZO�tI�G CH�CK LIST Zoning District: <br /> Fire Departmeat: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date Survey: `j -'Z'1- oS <br /> Proposed Setbacks: <br /> Fron[ (L-e�e): 25 I � +' Righc Side: i Z c� <br /> Rear (SEreet): I 21 � � Left Side: 6 Z <br /> Adjacent Structures: j� etland: �l 1A- <br /> � <br /> Building Hei�ht: Def. Hgt. C�• �-- Peak Hgt. <br /> Lot Covera�e: /�1 I� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zonin� File: # — Resolution: # Reso tion Date: <br /> Shoreland District: �u <br /> Av�. Setback: Bluff Setback: L,otCovera�e: <br /> Existina Proposed <br /> O <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-�Ca' � <br /> 50C-1000' <br /> Hardcover Variance Required: Yes No Dace of Council Approval: <br /> REVL4RKS (in house): <br />