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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERi1�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3 C� �-o✓t.��� /-��S c a..�-e <br /> PID: <br /> DESCRIPTION OF WORK: ��c�� ���.Q <br /> ZO�.VI�i IG REV�`V BY: DATE APPROVED: g - �(�- oc� <br /> BUILDI�i G REVIE�Y BY: DATE APPROVED: �g _J �. o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERI�IIT Yes � No <br /> PLA.��t REVIEW Yes � No SEWF.R CO�TNECITON <br /> STATE SURCHARGE Yes --� No WATF.RCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI�tG CHE.CK LIST Zoning District: L,2- 1� <br /> Fire Department: Post O�ce: School District: <br /> I,ot Area: Sq.ft. 4�{�121.7�3 Acres �, � "Z Width /5 3,Z-ZS Depch _� Z�r/•4�7 <br /> Survey Submitted: Yes oc No Date of Survey: �-(�2°i �?i Z� <br /> Progosed Setbacks: <br /> Fron[ (��): Z�3� ± Right Side: � z o <br /> Rear (St�aet): 3S� Left Side: /5 ` <br /> Adjaceat Structures: qs ' �Vetland: � i� <br /> Building Heigh[: Def. H�t. __ (�,(C Peal:Hgt. <br /> Lot Coveraoe: D ,►c <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: � Resolucioa Date: <br /> Shoreland Dis[rict: u�os <br /> Avg. Setback:r- �✓/vj Bluff Setback: i✓�� L.otCovera�e: /�/� <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Q00' D•1�- <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REI�ZARKS (in house}: <br /> 7 <br />