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� . . <br /> � CHECK OFF LIST FOR TSSUANCE OF PERi1�IITS <br /> � FOR OFFICE USE ONLY <br /> ADDRE.SS OR LEGAL: 3 Z.�O C3C�H NS Pp(�t T" nt� ' <br /> PID: — <br /> DESCRIPT'ION OF WORK: _ �ZG��� ��c,,cs n,,�,� S �S Po 2c,c{ � <br /> ZONING REVIEti� BY: W . N. DATE APPROVED: �t-I o•�� �- <br /> BLTIZD .IVG REVIE�'Y $Y• � DATE APPROVED: � - �o `�'� : <br /> �EES TO BE CHARGED: - - � Misc. Fees Calculated By: � <br /> PERMIT _ Yes ,,/� No ' <br /> PLAN REV�W Yes ✓' No SEWER CO�ECITON <br /> STATE SUR`H�RG� Yes ✓ No �AT�RCO�N"ECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�tI.I�tG CHECK L' IST zoning District: �/L..�6 - -----~---------- �---- � _M <br /> Fire Deparanent: Post Office: l,.lqy�i,��y�- School District: OIU.�N c�� <br /> L.ot Area: Sq.ft._ /Uo G(�ArStAcres tiVidth Depth <br /> Survey Submitted: Yes x No Date of Survey: (� • Z`(- �7 <br /> �O(� F f cJli) <br /> Proposed Setbacks: . <br /> Front (La.�Ce): , �O3 � ± Right Side: /�0 ` ± . <br /> Rear(Street): (YS � * Left Side: �'I � � � <br /> Adjaceat Structures: /�-�7r)c c-t� jVetland: N (� <br /> Building Heioht: Def. Hgt. _ L�< <� Peak Hgt. <br /> Lo[ Coverage: Q�L <br /> Gradin�: Staff Approval Date: — . By: — Council Approval Date: ' <br /> Septic; Staff Approval Date: � — gy; -- � . <br /> Zoning File: # — Resolution: ,# Resolution Date: — • <br /> Shoreland Dis�ict: �p � <br /> Avg. Setback. _ iv l� Bluff Setback: /J//� Lot Coveraoe: �� �� <br /> � ' E���g Proposed <br /> Hazdcover: 0-75' <br /> 75-250' . .� ���,� . <br /> 250-500' . . <br /> 500-1000' U-(� <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> . � <br /> REiI�ZAR�S ('Ln house): � <br /> z � � � ' � <br /> ' '''�t- 26 <br />