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� CHECh' OFF LIST FOR ISSUA�'�►CE OF PERti1ITS <br /> FOR OFFICE USE ONL.Y . � . <br /> ADDRESS ORLEGAL: Z � �v <br /> PID: <br /> DESCRIPTION OF�ORK: ��- -� ���-->�0-��S <br /> . <br /> ZO�'L�'G REVIEti�+BY: D�TE APPROV�D: r✓/�- <br /> BU]I�D�i'G REVIE'4� BY: � D�.TE A.PPROYID: y- 26 •.cs� <br /> FEES TO BE CFi4RGED: Nlisc. Fees Calculated By: <br /> pERMIT' Yes ✓ No �� <br /> pZ,AN REVIEW Yes No �/ SE�TER COi�IECI'ION <br /> STATE SURCHARGE Yes !/ No ��TAT'ERCONNECTION <br /> Ii`,'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECI'ION <br /> Number of SAC•Unics OTHER (specify) <br /> ZOtiZZ�IG CH�CK LIST zonin�Districc: /l!v C ��'�� _ . <br /> Fire Depaztment: Post Ofuce: School Discrict: • � � <br /> Loc E1rea: Sq.fr. Acres � Wi ch Depth <br /> Surve;� Sub::.itted: Yes No D te of Survey: <br /> Propased Setoacks: <br /> F:ont (La�Ce): Righc Side: � <br /> Rear (Screet): Left Side: <br /> Adjacent Structures: `Vetland: • <br /> guildin� Hei�ht: Def. H�t. Pe�.l'H�t. <br /> I,ot Coverage: <br /> Gradin�: Staff Approval Date: By: �_ Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin�File; � Resolution: � Resolutioa Dace: � <br /> Shoreland District: <br /> Av�. Setback: Blufi Setback: Lo[Co�•era�e: <br /> E���j Froposed <br /> Ha;dcover: 0-7�' <br /> 7�-250' - <br /> ti0-500' <br /> 500-1000' - <br /> Hardcover Variance Required: Yes No Date of Council Aoproval: ___ <br /> REI�LAR�iS (in house): <br /> 7 <br />