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CHEC.K OFF LIST FOR ISSUAIVCE OF PEX�ti,tITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: ZY���uNwoo�oc� A'� <br /> PID: <br /> DESCRIPTION OF Gt�ORh': r�(JQ 1 T7 a nrs <br /> --------------------------------------- --------------------------------------------------------------- <br /> ZO�tiINGREVIEy[�BY: D.�TEAPPROVED: /� �/�i - �y <br /> B UILDING RE VIE W B Y: DA TE APPR 0 6'ED: �a - >S - �7 <br /> ---------------------- <br /> FEES TO BE CHARGED: / �Llisc. Fees Calctclated By: <br /> PERI�IIT �`eS ✓ ��o <br /> PLAN RE I/IE 6V Yes _s� No SE tiVER CO�VNECTION <br /> STATE SURCH.4RGE Yes �1Vo tiV"ATER CO�V�VECTIO�V <br /> I�VVESTIGATIOIV FEE Yes ��Io PARK FEE <br /> S.AC Yes No SITE NSPECTIO�V <br /> Ntinrtber• of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------------------------- <br /> Z4rYING CHEC.Ii LIST Zor�ing Disd�icc: <br /> Fire Deparhneret: Post Office: Sclroof District: ___. <br /> � � t <br /> Lar.=(r•ea: Sq.f't. �5 o Z5 Acr�es - � 6Yidtic I Z- � Deptl� Z-vJ� <br /> Survey Strbniitted: Yes�. No Date of Scrivey: I ' �`�� d 3 <br /> Pr•oposed Setbncks: ��� + �� � f r t <br /> Fratt(Lake): I `� — f � rRight Side: ZZ . �7 b - <br /> �+ �. f � S�f iy, � <br /> Rear(Sh•eet): 1� � �55^ Le t Side: <br /> Adjacent Svucteu•es: /-1�'�c�tL� G�etla�trl: �///� <br /> Betilcfing Height: Def. Hgt. G -� Peak Hgt. � <br /> Lot Coverage: �•K <br /> Grading: Srajf,4pproval Date: N�� By: Cot�rtcil Approvaf Date: <br /> Sepric: Staff,�lpproval Date: N/A By: <br /> Zoiting File: # — Resolution: # Resolution Date: <br /> Shoreland Dish•ict: _�f S <br /> Avg. Setback: �.K Blc�ff Setbac/c: N //� Lot Coverage: O.)< <br /> Esistiizg Proposed <br /> Har•dcover: 0-7�' � <br /> 75-Z�0' ��-`1Z 2`�•� � <br /> 250-500' <br /> 500-1000' <br /> Hardcover Var-iartce Reqicired: Yes No Dnte of Cocuacil:{pproval: <br /> .REMARKS(i�t hotcse): <br /> 31 <br />