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CHECIi OFF LIST FOR ISSUAl�TCE OF PERti1ITS <br /> _ ' FOR OFFICE USE Oi�L,Y � . <br /> ADDRESS OR LEGAL: � Z c��, F R--�►'�C k� C!�-�`�.�� �� <br /> PID: <br /> DESCRIP'I'ION OF�ORK: � - L� - <br /> ZOrZ\�GREVIEti� BY: D�TEAPPROVED: 3-3C� -O( <br /> BUILD .T�i TG REVIE�BY: D�.TE APPROYID: 3 -� -� f� t - <br /> FEES TO BE C�-L4RGED: Niisc. Fees Calculated By: <br /> pEgNII'I' Yes ✓ No : <br /> pLAN REVIEW Yes ✓ No S��ER CONNECITON <br /> STATE SURCHARGE Yes � No ��ATER CONNECITON <br /> IT,'VESTIGATION FEE Yes No �/' P.��E <br /> SAC Yes No � SITELtiSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOti1.�tG C�CK LIST Zonin�Dis�icc: R Z - �� P2� <br /> Fire Department: (x.�n1G�(t�G Post Office: W��(�� S:.aool D:strict: �tZ�OG� � <br /> Loc Area: Sq.fr. S�, 31� Acres I �3l� Width Depth <br /> Surve,� Subu..itted: Yes_� No Date o,`S•.:.-vey: D�i' l � -2��� <br /> Pro ased Se[b2cks: /� <br /> P Froat(�e): � �O Ri�b.t Side: cl`'� I �% <br /> Rear (S�eeE): 5'� Left Side: � <br /> Adjacent Structures: _/�r�-rac�t-�.e� �Vetland: S 3� � <br /> Buildin� Hei�hr. Def. H�t. t� . I� Pea'_:H�t. O• (� <br /> I,ot Coverage: N I/� <br /> Gradin�: Stafi Approval Date: nl l�1- By: Counc� Approval Date: <br /> Septic: Staff Approval Da�e: � N /� By: <br /> Zoain� File: � Zb S5� Resolution: ; ResoL_�o�Da:'-= Z -��- '�i � <br /> Shoreland District: y.eS <br /> Av�. Setback: o •t�- B[uft Secback: � �/� I-ocCo�'erage: /f�� <br /> E���� proposed <br /> Hardcover: 0-7�' d � <br /> 7�-250' 2�• Z <br /> ti0-500' �� �-� <br /> 500-1OQ0' - <br /> Hardcover Varia.nce Required: Yes No Dat� e;Council Aoproval: ___ <br /> gEI�IAR�iS (in house): <br /> 7 <br />