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�� . CHEC�' OFF LIST FOR ISSUA��'CE OF PER1tinTS <br /> _ FOR OFFICE USE O�TL.Y . ' . <br /> A.DDRESS ORLEGAL: t_� � i- i i-�-t � t-i ��'� -.1 �Ze:.'�!7 <br /> PID: <br /> DFSCRIP'I�ION OF�ORK: �v �L�> <br /> , <br /> ZO��'G RE`r:IE�S� BY: � <br /> `'' l D�TE APPROV�D: � -�� • c;� <br /> BULLD�'G REVIE�V BY: D�.TE APPROYID: S�1 �: =�i <br /> FEES TO BE CFLAl2GED: Niisc. Fees Calcula[ed By: <br /> pEgN1IT Yes ,./ No �- <br /> PLAN REVIEW Yes �' No SES�TFR CO�INECTION <br /> STATE SURCHARGE Yes i� No �zIATERCONNECTION <br /> �1VESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes _ � r No 6-- SITEINSPECTION <br /> Number of SAC�Unics �.:��,,,; A=�}..�-}-C.L�� OTHER (specify) <br /> ZO�Z:�IG CH�CK LIST zonin� Districc: c.f? - 1�'—j . <br /> Fire Department: iVl,�.�,v�'1 Post Ofuce: �!� �,�1 _ Sc4eo1 Discrict: �h.;-�� t '�' '�`�-�'' <br /> Lot Area: Sq.ft. �',�S Z; Actes ?� � ' Widch � y!�-+°L.-✓t�� Depth <br /> Sur�,�e,� Sub.�.itted: Yes_,� No Date of Survey: _ <br /> P;cpvsed Setbac!cs: <br /> F�t (La.ke): � �`� Right Side: � �i7, _ <br /> R+}ar (Street): 2 S� Left Side: j- 5 <br /> Adjacenc Structures: N � u'� tiVetland: N 1 � • <br /> Bui?din� Hei�hc: Def. H�t. �� PeakH�t. �`=�•S <br /> Loc Covera�e: <br /> Gradin�: Staft Approval Date: � - j�, -�l By: ��_ Council Approval Date: <br /> Septic: Staff Approval Da�e: /J e,� By: <br /> u u , �� Resolution Dace: `�"2� "�'� <br /> Zonin�File: n q-2��3 Resolucion: �,�_ . <br /> Shoreland District: ��g <br /> Av�. Secback: �, �� Bluf[Setback: ��✓F I.otCo�'era�e: <br /> E���? Proposed <br /> Hardcover: 0-7�' V <br /> ,�� � <br /> 75-250' <br /> ti0-5(,`0' <br /> 500-1OQ0' -- <br /> Hardcover Varia.ace Required: Yes J. No <br /> Date of Coi:ncil Aoproval: `� '�3 � ' <br /> REI�LARIiS (in house): <br /> 7 <br />