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, CHECK Ok'F LIST �'OR ISSUANCE OF PER.�tiIITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAY,: _ � q,S ��;ti� A v� � <br /> PID: <br /> DES CRIPTTON OF WORK: _ �Luc � <br /> ZOY .�G REVIE��BY: � � � ~ DATEAPPROVED: �r L--�� � <br /> BUII_.DTNG REVLE�'V BY:. . DATE APPROVED: � :2 -�'� <br /> �EES TO BE CHARGED: � � � Misc. Pees Calculated By: <br /> PERNIIT Yes ✓' No ' <br /> PL� ��� Yes ✓ No SEWF.,R CONNECITON <br /> STATE SUR`H1��G� Yes � No ti�AT'II�CO�tNECTTON <br /> INVESTIGA'I`ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC Units OT'HER (specify) <br /> ------------ ------ ---- <br /> ZONING CHECK LIST zoning Districc: �/z -�c � � <br /> Fire Department: �,�p�,,nN.1 Post Office: �Vt,u�✓vvJ School District: �,..eSrp.Ni�1- <br /> Lot Area: Sq.ft._ 1 U, �7 � Acres ,Z � �Vidth 5� Depch �� ��f 3 <br /> Survey Submitted: Yes�_ No Date of Survey: <br /> Proposed Setbac�s: <br /> Front (La.'ce): . 5� Right Side: �N ` � . <br /> Rear(Street): )�d-�� . Left Side: Z I' <br /> Adjacent Structures: _/4��r�c� �Vetland: �//� <br /> Building Heiaht: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Gradia�: Staff Approval Date: . By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; • . <br /> ��. Zonina File: # Resolution: # Resolution Date:� � <br /> Shoreland Dis�-ict: � � <br /> Avg. Setback: Bluff Setback: I.otCoverage: � <br /> ' Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' . . � ' <br /> 250-500' . . <br /> SOQ-1000' <br /> Hardcover Variance Required: Yes No Date of Councii Approval: <br /> � <br /> REI�ZA�R.KS ('in house): � <br /> z � � � � � <br /> : y�� � 26 <br /> . ��A. . . <br />