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• CHECK OFF LIST FOR ISSUANCE OF PEIt11�1ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l y J /lA cx�c_/t/Lt, �-��u <br /> PID: <br /> DESCRIPTION OF`�'ORK: S-��6� sr�c� <br /> ZO�iG REY�`V BY: DATE APPROVED: 8• /Z -o y <br /> BUILDING REVIE`V SY: DATE A.PPROVED; � -r Z-�Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IT Yes � No <br /> PLA.��t REVIEW Yes v No SEWER CO�]NECTION <br /> STATE SURCHARGE Yes ,/ No WATERCOiVNECI'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�II�1G CI-iE.CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> �Pf.�- ���N C.a . <br /> Lot Area: Sq.fr. 21�'061 Acres •5�2 Widch �o � Dep[h 2� 7 <br /> Survey Submitted: Yes_� No D� Date of Survey: <br /> USin�Jt s��We-�j ��aw�n or' <br /> Progosed Setbacks: � <br /> Fron[(L-al�e): ��l 1 Right Side: C� <br /> Rear (Sz€�t): I v ` Left Side: 1� <br /> Adjaceat Structures: Z�` f `Vetland: �/A' <br /> Building Hei;ht: Def. Hgt. �• k- Peak Hgt. — <br /> Lot Coveraoe: d 'I� <br /> Grading: Staff Approval Dace: — By: Council Approval Date: <br /> Sepcic: Staff Approval Date: — By: <br /> Zoaing File: # — Resolution: # Resolutioa Date: <br /> Shoreland District: �`� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-SQO' <br /> SQO-1Q00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house)• <br /> 7 <br />