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� � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �jI �(,�,/<�`y �(�� <br /> PID: <br /> DESCRIPTION OF WORK: C\e-I'r�cin�� G�¢.. � afN 14 hc� �,4.e.I <br /> _______------------------------------______—_ _ <br /> ZONING REVIEW BY.• �i� w�� DATEAPPROI�ED:�Y � � d '� <br /> BUILDING REVIEW BY.• DATEAPPROVED: S-Z,S-�-7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: �__�______________ <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No r/' PARK FEE <br /> SAC Yes No� SITEINSPECTION <br /> Number of SAC Units � OTHER (spec�) <br /> ----------------------------------------------------_----_------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: � - � � <br /> Fire Department: Post Office: School District.� <br /> Lot Area: Sq.ft. 2�F��� Acres Width U4 Depth Z,�7 <br /> Survey Submitled: Yes ✓ No Date of Survey: 2� <br /> Proposed Setbacks: _ /- ,,, � <br /> �) �-�ri I rtC,� h o�S� .&i$.bt Side: �Q <br /> , pwFti i <br /> Rear(Sdreelf: Q Left Side: <br /> Adjacent SU�uctures: /�C��� j�(��q�y Wetland: �f/� <br /> Building Height• Def. Hgt. Peak Hgt. <br /> h�+.se... <br /> Lot Coverage: Z Z,�O -t 4.(c{O e= z(o�0 0�`' f}-��G�2.6� 3L SS � <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: Staff Appi•oval Date: ��1 By: <br /> Zoning File: #_ Resolz�tion: # Resolution Date: <br /> Shoreland District: �� MCWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage. <br /> Existing Prroposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-�00' <br /> 500-1000' <br /> Hardcover Variance Required: 3 es No Date of Councll Approval. <br /> � REMARKS(in house): � - d�.. 6w.� � �, <br /> 2Y'u�c� Srcl e_ � <br /> � � � <br /> i" f►' �� Sl��!/cw �� , Kc�Sc,, c s r�hl�-s�c <br /> 33 <br />