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. • <br /> CHECK OFF LIST FOR ISSUANCE OF PER�I2ITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI,: �I7 2 S �A�/s�at 20�-/� . . <br /> PID: - �l7 r � .� �z a ���:� �. <br /> DESCRIPTION OF WORK: /�"' � ��G < 5 v �„1��� <br /> ZOY�YG REVIEti�BI': � 1 � Y DATE APPROVED: S' 3 - S� ~ <br /> BUII.,DING REVIEVV BY: � /V��- . . . DAZ'E APPROVED: . . <br /> ' FEES TO BE CHAR . Pe^..ti cy=-'----`--------____-------- . -- <br /> GED: �Rr�.p,,� Misc. Fees Calculated By: <br /> PERMIT Yes oL No ' <br /> PL� ��� YeS No SEW�COYNECTiON <br /> STATE SUR`H1�I�Gr, Yes No WATER CO�NECTION <br /> INVESTIGAZTON-�'EE Yes No pARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning Districc: w� c�.-��{�� N � � � <br /> Fire Departmenr. Post O e: School District: � <br /> Lot Area: Sq.fr. Acres tiVidth Depth <br /> Survey Submitted: Yes Date of Survey: <br /> Proposed Setbacks: <br /> Froat (La.tie): . - Ri ht Side: . <br /> Rear(Street): - Le Side: <br /> Adjacent S[ructures: �Vetland: <br /> Building Height: Def. Hgt• Peak Hgt. <br /> Lot Coverage: <br /> Gradin�: Staff Approval Date: - By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; • � . <br /> Zoaing File: # Resolution: # Resolution Date: • <br /> Shoreland Dis�ict: � � <br /> Avg. Setback: Bluff S back: Lot Covenge: � <br /> � ' E��� Proposed <br /> Hardcover: 0-75' <br /> 75-250' . � - <br /> 250-500' . . <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> . � <br /> RE11�ZA.RKS ('in house): � <br /> z - � ' � <br /> : �,� .. 26 <br /> . �Z�. . . <br />