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CHECIa Ok�F' LIST FOR ISSUA��CE OF PERI�IITS <br /> - • FOR OFFICE USE ONI.Y � <br /> ADDRESS OR LEG.AL: _ y p� p ����L ��,,,�.,� <br /> PID: ' <br /> DE��RIPTTON OF�'YORb: i1,,�'�l�.R � �z�c - �3 u��r� s i-t-v'� <br /> � - <br /> ZOtiZ\"G REV�ti'ti B�: D�TE APPROV�ll: G- z7-v� <br /> BUILDl�'G REYIE�BY: D�.TE APPROY�D: b •Z�-v.� <br /> FEES TO BE CIi4RGED: I�iisc. Fees Calcuia[ed By: <br /> PERNIlT Yes c/' No _, <br /> PLAN REVIEW Yes _� No SES;TF.R CONNEC'ITON <br /> STATE SURCHARGE Yes �/ No �ATER CONNECTION <br /> I�,'VESTIGATION FEE Yes �To pARK FEE <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC�Unics OTHER (specify) <br /> ZQ�,"L�IG CH�CK LIST Zoning Dis�-ict: L,Q-�6 <br /> Fire Depastment: �vL���.,� Post Ofuce: yy�o�,w> Sc�col District: �,,,�5 �,-.il� � <br /> Lot E1rea: Sq.fr. No CI�e,C Acres — Wid�� Depch � <br /> Surve;� SubL.itted: Yes_r� No oc Da'� of Survey: <br /> Proposed Setoac?cs: � rw�-r �X c�-yo ri� ��- s�tc:�S .< i � s.�. �r <br /> F.oe[ (Lzke): ` ' �' <br /> S� f Rirht Side: ' (o <br /> Rear (Screet): Left Side: <br /> Adjacent Struc�t:;es: I�O� �' �Vetlznd: N I � � , <br /> Buile�in� Hei�ht: Def. H,c. p .(� Pe%H�t. d,I� <br /> Lot Covera��: — <br /> Grading: Scafi Approv�l Dace: — gy; Council Approval Date: <br /> Septic: Staff Approval Dace: gy; <br /> Zoning File: fi � Resolution: � Resolucioa Date: . <br /> Shoreland District: u-Pc� <br /> Av�. Setbac'�— rtJ � Blufi Se;.,ack: LotCo�'e:a�e: <br /> E���� Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' !�• �/�' � <br /> ti0-SC4' <br /> SGO-I CAO' <br /> Hardcover Va.*iLce Required: Yes tio Date of Council Aop:oval: <br /> REI�L�.R�iS (in house): <br /> 7 <br />