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.. CHECK OFF LIST FOR ISSUANCE OF PER1tiiITS <br /> � �O OFFICE USE ON�jY <br /> ADDRESS OR LEGAL: �( � �� �' � ��' -� '��� :� �`= <br /> PID: �� � ; . , <br /> DESCRIP'TION OF WORK: (���C:�` <br /> � --------------------------------------------------------- <br /> ZO�tG REV�W BY: .- , (�U�..n�- DATE APPROVED: � -� 5 Y� <br /> BUII.,DING REVIEW BY: ``' � ti:.-- DATE APPROVED: '7 - � _ er �' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes :/' No <br /> PLAN REVIEW Yes :✓ No SEWER CO�]NECITON <br /> STATE SUR`HA�Gr� Yes `� No WATER CONNECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�tING CHECK LIST Zoning District: ��'I � _ <br /> Fire Deparcment: j� L- Post Office: (�• c.— School District: U�'�.'�-� <br /> Lot Area: Sq.ft. �:�1 r, ,!�t�Acres Width Dep[h <br /> n <br /> Survey Submitted: Yes �. No Date of Survey: �^` f� f �' <br /> Proposed Setbacks: <br /> Front (ba1Ee�): _ (,S 1 � Right Side: _`5`�',-%� ^' <br /> Rear(Street): � � �= Left Side: (y �a `� <br /> Adjacent Structures: I��ic�z�i i-�) Wetland: � ��' <br /> Building Height: Def. Hgt. u 1� Peak Hgt. <br /> Lot Coverage: v, �� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoni.ng File: # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: _ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � � � Existing 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 /> • 26 . <br />