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CHECK OFF LIST FOR ISSUAI�ICE OF PER1l�1ITS <br /> FOR OFFICE USE ONLY <br /> .- <br /> ADDRESS OR LEGAL: So� F�Zcv,p,��, ,Zo,�,o - <br /> PID: <br /> DESCRIPTION OF WORK: �yy,�J�(J�T�o�v 5 <br /> ZO.�tIvi G REV�`V BY: DA'TE APPROVED: �Z - � 3-�s' <br /> BLTILDI�'G REVIE`V BY: DATE APPROVED: i 2 -r 3-o S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes ,� No SE`VER CONivECTION <br /> STATE SURCHARGE Yes ✓ No WATERCOiVNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZO\�i TG CH�CK LIST Zonin; District: <br /> Fire Department: Post O�ce: School Districr. <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: �j• Z3 •�b <br /> Proposed Setbacks: <br /> Front (-�e): Z��' # Righ[Side: ��� ± <br /> Rear (Str�t): �j n Lef!Side: 3c�� <br /> Adjacent Structures: N I J� Wedand: /�1 ( ✓� <br /> Buildin; Heighr. Def. Hgt. (�.� Peak Hgc. — <br /> Lot Covera;e: /�J 1✓� <br /> Grading: Staff Approval Date: /J �✓a' By: — Council Approval Date: <br /> Septic: Staff Approval Date: ,eo�/Z•1 Z-o S By: (�•C�• <br /> Zonina File: � � Resolution: # – Resolucion Date: <br /> Shoreland District: �/�J <br /> Avg. Setbacy: Bluff Setback: L,o[CoveraQe: <br /> Eeistin� �roposed <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> �00-1000' <br /> Hardcover Variance Required: Yes I�o Dace of Council Approval: <br /> ���5 �an hotise): <br /> 7 <br />