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, � CHEC� OF'F LIST FOR ISSUANCE OF PER11�I�'rS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ ( 1� (`.[ZV S(04 L C�?�L'- 1� . <br /> PID: � � i/�5 - .�- 3 � ; <br /> Cc� • G' <br /> DESCRIP'I'ION OF WORK: _ N C W (�S � <br /> ZO�G REVIE��BY: c� � ~ . M_ DA'I'E APPROVED: �a -��t -5�_ <br /> BUII.,D1�G REVIE�� BI'• � DA1 E APPRO'YED: (c�-�5-�� <br /> �EES TO BE CHARGED: � - Misc. Fees Calculated By: ~ � <br /> PERMIT Yes +/' No ' <br /> PLAN REV�W Yes �- No SEWER CONNECTTON <br /> STATE SUR`Fit��G� yes � No ��I�,TER CONNECTION <br /> INYESTIGAZ'ION-FEE Yes No PA1ZK FEE <br /> SAC Yes No SITETNSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------ ----- --- <br /> ZO��G CHECK LIST zoning Districc: R�2- ►� � <br /> Fire Department: _(,c�ivb �.A/�c' Post Office: �n�� (',¢,� School District: Q�N�7 � <br /> Lot Area: Sq.ft. —� Acres 2 � tiVidth I 2P�.�v c.42 Dep[h �" <br /> Survey Submitted: Yes�_ No Date of Survey: 1 l�- (�`'- 9 3 <br /> Proposed Setbacks: <br /> Front (La.�Ce): . (�o•7 Right Side: Z�0� �' � <br /> Rear (Stree[): 2��� �' Left Side: (,5 -�7 + <br /> Adjacent Structures: N (14- tiVetland: /l/l✓� <br /> Building Height: Def. Hgt. 243 Peak Hgt. 3 b <br /> Lot Coverage: �l//�1 <br /> GradinJ: Staff Approval Date: _1!7�-/`7 `�i�G By: �(�- Council Approval Date: <br /> Septic: Staff Approval Date: l o - !b - ��} gy. �••� � . <br /> Zonino File: � /V �� . Resolution: �# Resolution Date: � <br /> Shoreland Disc:ict: � /1�4 � <br /> Avg. Setbac . Bluff Setback: I.flt Coverage: � <br /> ' Existing Proposed � <br /> Hazdcover: 0-75' <br /> 75-250' . - � <br /> 250-500' . . <br /> 500-1Q04' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> . � <br /> REl�ZA12KS ('in house): <br /> z � _ . - . <br /> : ��� � 26 <br /> . ��- . . <br />