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CHEC�i OFF LIST FOR ISSUA.��TCE OF PER1ti1ITS <br /> _ FOR OFFICE USE ONL,Y . � . <br /> ADDRESS ORLEGAL: ��Z� ��RN�(J��� �� �� <br /> PID: <br /> DESCRIP7.'ION OF�ORK: �,� � i ;, �.-� - <br /> . <br /> ZOr�'G R.EVIEti�BY: DATE APPROY�D: 2- / 2- o ( <br /> BUII�Diti'G REVIEjY BY: DA'I'E APPROYID: �_-i Z- � t <br /> FEES TO BE C7Z4RGED: Niisc. Fees Calcula[ed By: <br /> pERIVII'I' Yes c/ No :� <br /> PLAN REVIEW Yes c� �to SERIER CO�V�ECTION <br /> STATE SURCHARGE Yes � No ti�IATERCONNECTION <br /> Ir,'VESTIGATION FEE Yes No P�RK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOti1�G C�CK LIST zoni.n� Districc: �'�- • 1� <br /> Fire Department: � Q„-La-�va- Post Ofnce: �,v ,-�,a•3✓} School Discrict: D��N� � <br /> Lot Area: Sq.fr. 9t�. Zb 5 Acres Z.c�") � Width y n�����'� Depth <br /> Suiye,, SubLL.itted: Yes � No Date of Survey: /- � S"41> <br /> Proposed Setbacks: � <br /> Fron[ (�e}L ��� � �' Ri�ht Side: � 35 �' <br /> Rear (�trezt): Z�o� �' Left Side: � 1� ` � <br /> Adjacent Struccures: g�y�c�-�-.:.� �Vedand: /l1 �✓� � <br /> Buildin� Hei�hc: Def. H�t. o•�� Pea.�:H?t. — <br /> L,oc Covera�e: �1 �� <br /> Gradir.g: Scafi Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Dace: — By: <br /> Zoain; File: � — Resolucion: n Resolution Date: . <br /> Shoreland District: N � <br /> Av�. Setback: Bluft Setback: I.otCo�'era�e: <br /> Existin� Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> ti0-500' ---- <br /> 500-1000' <br /> Hardcover Varia.nce Required: Yes No Date of Council Aoproval: <br /> RE�LA.R�iS (in house): <br /> 7 <br />