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CHECK OFF LIST FOR ISSUANCE OF PER.i1�IITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ _��OD F'O X' �T LT � <br /> �'ID: <br /> DES C�IPTION OF WORK: _� L� /�S . � <br /> ZONI�YG REVIEti'V BY: �..� �` DATE APPROVED: 9 -30 - S ` <br /> B U I I,D .�-�,i T G R E V L E ti� B Y: DATE APPROVED: � -�3p -.g� <br /> . . ��__---_----------------- � <br /> �EFS TO BE CHARGED: � - Misc. Fees Calculated By: <br /> PEFtMIT _Yes ✓' No ' <br /> PLAN �.2EVIEW Yes /� No SEV�COYNEC'TION <br /> STATE SUR�H�G� yes �/ No WATER CO�INECITON <br /> INVESTIGAT`ION-�'EE .�'�'es ✓ No PARK FEE <br /> SAC Yes No SITEINSPEG"I'ION <br /> Number of SAC Units `OTHER (specify) <br /> -------------------------------- ----- ---- <br /> ZONl3�TG CHECK LIST zoning District: L(z- � �q � <br /> Fire Deparoment: �p�6 (,a,a�,� Post Office: (,��� (,q,�; School District: O r2�fv o� <br /> I.,otArea: Sq.fr._32�,357 Acres —l• S( tiVidth _ /2/l.C-Z�C�4-f�. Depth — <br /> Survey Submitted: Yes_ c� No Date of Survey: <br /> Proposed Setbacks: <br /> F�aet (La.'�e): . I 1$� "� Right Side: f�! .z 5 � E. . <br /> �(Street): z5�' ± Left Side: 1`(t�` L a! <br /> Adjacent Structures: g"]� �Vetland: Zoo` t <br /> Building Height: Def. Hgt• 2`i ' Pea.k Hgt. 2`{ � <br /> Lot Coverage: n1 I Y� <br /> GradinJ: Staff Approval Date: q - 3�-g 3 By; .�_ Council Approval Date: N/h <br /> Septic: Staff Appcoval Date: -^t- 3 v - 5`b gy; ,3,•c.� . <br /> Zoning File: � N �� . Resolution: # — Resolution Date:� — • <br /> Shoreland Dis�-ict: _ y�eS � <br /> Avg. Setback: _ n//�9- Bluff Setback: �cI //-� Lot Coverage: N /i9- <br /> ' E���� Proposed � <br /> Hardcover: 0-75' E�c��r-i.v 5 <br /> 75-250' . . �e . . <br /> 250-500' . .43 •g°Za <br /> 500-1000' I✓I A <br /> Hardcos•er Vaziance Required: Yes No_� Date of Council Approval: <br /> . Y <br /> REl�I�1RKS ('in house):_ (,�}�Q l� S��'�'J 0 �n rm A; <br /> - � S�� �i4�nl.s /.v .O.s p��`=� C.E- ^ <br /> � - f/N7'�L Go.�p[Ul'i�a,,.l -vf' /Lv'3"����v <br /> Z ` " � � <br /> . �>� ` 2b <br /> . �t' . . <br />