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� CHECK OFF LIST FOR ISS U.ANCE OF PERMITS <br /> FQR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ;� ( S 5 � c��/',�,� �f],yj <br /> PID: <br /> DESCRIPTION OF WORK: <. L{� �� c� �L;�� <br /> ZONING REVIEW BY.� �� ��� '� DATEAPPROVED:�C1G _ ��'�J� <br /> BUILDING REi�IET�L'BY: _ DATEAPPROVED: 1 � -�6-o-L <br /> FEES TO BE CH.ARGED: Misc. Fees Calculated By: `� M� <br /> PERMIT I'es f No <br /> PLAN REVIEW Yes � No SEu ER CO.N.'VECTION <br /> STATE SURCHARGE Yes �/ No uATER CONNECTION <br /> INVESTIGATION FEE Y'es No f PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> w_�________---_�___________________--------� - ------------�__----------- <br /> ZONING CHECK LIST Zoning District: � - � � ~�� <br /> Fire Department: Post Offtce: School District: <br /> t�yl ct���,., — <br /> LotA��ea: Sqft. Acres �/;e.v�s 6G'idth Depth <br /> Survev Strbmitted: f'es� No Date of Surveti�: �_�_�3 C/�� hv/l�� <br /> Propased Setbacks: �y�- <br /> Front (�alt�: �/.�} It�rg�t Side: �� � <br /> Rear �: �' � `'L�;!S{` � r �/ <br /> ( ) �_ �f'f Side: � <br /> .4djacenl Structures: Wetland: <br /> Building Height: Def. Hgt. � Peak Hgt. <br /> Lot Coverage: r�� <br /> Grading: StaffApproval Date: _ �� By: Council Approval Date: <br /> Septic: Staff.dpproval Date: �C� �f � .�r� By: ��' <br /> Zoning File: � Resolution: # Resolution Date: <br /> Shoreland Disti•ict: �'f � d1C�(D Pern�it: <br /> Avg. Setback. Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: D-?.5' <br /> ?�-?.SO' <br /> ?�0-�00' <br /> .i 00-1000' <br /> Hardcover b"ariance Reguired: }es__ N'o Date oJCouncil.4pproval: <br /> REM.4RIiS(i��house): <br /> 33 <br />