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, . • �. • <br /> CHECB OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ �� �-a ( � ���� <br /> PID: <br /> DESCRIPTIDNOF WORK: ! ��/ f�G SYSG� <br /> ZONING REVIEW BY.• DATEAPPROVED: Z3 O� <br /> SUILDING REi�lEW BY.• DATEAPPROVED: �•z3�o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes_J� ]vo <br /> PLAN REVIEW Yes �/' No SEYVER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNEGTION <br /> INVESTIGATION FEE Yes No ,r' PARK FEE <br /> `�C Yes Na �/ SIT�WSPECTION <br /> 1Vumber of SAC Units OTHER (spec�) <br /> : ZONIIVG CHECg LIST Zoning District: -` ._ <br /> Fire Departmerrt: Post OfJ'ice: School District: - <br /> Lot Area: Sq;ft. • Acres � Width Depth <br /> Survey Submitted.• Yes� No Date of Survey: �/ Q <br /> Proposed Setbacks: s��7 <br /> _ _ _ <br /> Front-�e�ke): � �irtSia'e: � <br /> Rear(&�e�tj: IODt/ �f1� � <br /> �eftrSide: rld C�s�yi�, D <br /> Adjacent Structures: ��{ Wetland.• � <br /> Building Height: Def.Hgt._ Q Peak Hgt, - <br /> Lot Coverage: . <br /> Grading.• Staff'.4pproval Date: By: Council Approval Date: <br /> Septic: Staff.4pproval Date: ' �� 'b� gy. (�� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /�� MCWD Permit: <br /> Avg.Setback.• Bluf,�'Setback; Lot Caverage: <br /> Hardcover: 0-75' <br /> ���ing Proposed <br /> 75-250' <br /> 250-SDO' , <br /> 500-1000' <br /> Hardcover Yariance Required.• Yes No Date of Council Approval: <br /> REMARKS(in house): � S. yt�c�� <br /> �'I'I,�.rhh�ih�hG �AinAe-•� �n o �' S ' <br /> - � ,� ��r/ rna� lYickc.,G 7 <br /> 33 <br />