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CHECK OFF LIST �'OR TSSUANCE OF PER.i1�ZITS <br /> � FOR OFFICE USE ONLY <br /> ADDRFSS ORLEGAL: _ 9�3U c�. �'�t�pa� ��,� � . <br /> PID: ,�- /1 � - �-� ti�( �� � I � <br /> DESCRIPTION OF WORK: _ syL—n � z x t v � <br /> — ------------------------ <br /> ZONING REVIEtiV BY: � � DA.TE APPROVED: � -U-�S � <br /> BUIZD .1 ivG REVIEti'V BY• DATE APPROVED: q - Zi..4 S <br /> FEES TO BE CHAKGED: - � � Misc. Fees Calculated By: ~ � <br /> PERMIT Yes �/' No ' <br /> PLAN REVIEW Yes ✓' No SEWF�Z COYNECiTON <br /> STATE SUR`H�1RG� Yes ,� No ti�ATER CO�NECITON <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEI�tSPEC"ITON <br /> Number of SAC Units OTHER (specify) <br /> __--------------------- ------ ---- <br /> ZONING CAECK LIST zoning Districr. _ (�.-1 /� � <br /> Fire Deparmlenr. W�,q�-� Post Office: �,q�,�,,4-� School District: <br /> Lot Area: Sq.ft._ ivU Cf,�.�v�,,Q Acres tiVidth — Depth — <br /> Survey Submitted: Yes o� No Date of Survey: 8 - ?.m-S� <br /> Proposed Setbacks: <br /> Front (�ee): . �"'1' Right Side: �{2.O� � <br /> Rear (�rect): 5 5 � Left Side: I� � <br /> Adjacent Structures: C� -�C- SVetland: Zf ` <br /> Building Heioht: Def. Hgt. O•(C Pea.k Hat. (��/� J <br /> Lot Coverage: d��C <br /> Grading: Staff Approval Date: _ �/� . By: — Council Approval Date: '�" <br /> Septic: Staff Approval Da[e: /�!�/�- gy; s• . <br /> Zoning File: � 22`►s' Resolution: #- 397� Resolution Date:� 1 U- 13 -� � � <br /> Shoreland Dis�icc: _ yPS <br /> Avg. Setback: _ N I/-� Bluff Setback: _ N /�+ L.ot Coverage: CJ.�� <br /> ' ' Existing Proposed <br /> Hardcover: 0-?5' <br /> 75-250' . �, I L � <br /> 250-500' • <br /> SOQ-1000' <br /> Hardcover Vaziance Required: Yes No p< Date of Council Approval: <br /> . � <br /> REl�Z4R�S ('in house): <br /> � ___ . . . <br /> : ��i � 26 <br /> , ��:� . . <br />