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' ' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z sss �iv✓NT/L��T��� Q2. <br /> PID: <br /> DESCRIPTIO�T OF WORK: G arz.aG� ,�}��, T-, a�1 <br /> ZOr7i�IG REVIEW BY: DATE A.PPROVED: //- !� -a 3 <br /> BUII..D�1G REVIE`V BY: DATE APPROVED; �/- 6 �o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PL?,��t REVIE`'V Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATE�CONNECI'ION <br /> INVESTIGATION FEE Yes No s� PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districr. <br /> Fire Department: Post Office: School District: <br /> I.ot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes_� No Date of Survey: J 1- Z-g Z <br /> Proposed Setbacks: <br /> Front(I.ake): I o c� � '� Right Side: 6 S't <br /> Rear (Street): 2to *� Left Side: �53' + <br /> Adjacent Structures: A TTt�c N� �Vetland: ti�/� <br /> Building Height: Def. Hgt. V.�� Peal:Hgt. -- <br /> Lot CoveraJe: i.r I/� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: � — Resolution: # Resolution Date: <br /> Shoreland District: hl U <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): _ <br /> 7 <br />