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CHECK OFF LIST FOR ISSUANCE OF PER1l�IITS <br /> FOR OFFICE USE ONLY <br /> �iDDRESS OR LEGAL: �K �S f3 A 4 5��:. 1`- �� <br /> PID: <br /> DESCRIPTION OF WORK: (V�W �5 <br /> . <br /> ZO�TG REVIEW BY: � DATE APPROVED: ?. Z.o -a� <br /> BUII.DTi�iG REVIEtiV BY: DATE APPROVED: 7-zo -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ,/' No , <br /> PLAN REVIEW Yes ,/ No SEOVER CONNEC'I'ION <br /> STATE SURCHARGE Yes ,/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONLV G CH�CK LIST Zoning District: (Z Q.-1 Q <br /> Fire Department: /�Dl,C, I�Gi4c�/ Post Office: /YIA�P�,p �'ir/ School District: wC�T��/� <br /> L,ot Area: Sq.ft. 32'),'l SU ,0 6 Acres 7•S Width �(L Z Depth 1 q �" <br /> Survey Submitted: Yes_� No Date of Survey: (� •2.�� 0a <br /> Proposed Setbacks: <br /> Fron[ (L-itkej: 2 6$` ' � Right Side: (LO r Z <br /> Rear(Serezt): �")O � � Left Side: Z�43� '� <br /> Adjacent Structures: Z 5''.�_ Wedand: Il1//;- . <br /> Building Height: Def. Hgt. 27, 5 Pea�:Hgt. �� $� <br /> Lot Covera�e: N �✓�' <br /> Grading: Staff Approval Date: `i •20 -v� By: �= Council Approval Date: — <br /> Septic: Staff Approval Date: 7- 2�- (9(� By: � <br /> Zoning File: # — Resolu[ion: # — Resolution Date: — <br /> Shoreland District: /LJ U <br /> Avg. Setback: Bluff Setback: I.ot Covera?e: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e of Council Approval: <br /> RE1�IA.RKS (in house): _ <br /> 7 <br />