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� CHECK OFF LIST FOR ISSZIANCE OF PER1tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2.655 Kc3 L�.�/ A�t- <br /> PID: <br /> DESCRIPTION OF yVORK: K��r-c��N �='��Z <br /> --------------------------------------------------------------------------------------------------- <br /> ZO�YINGREVIEtiVBY: / _ DATEAPPROVED: <br /> B UILDING REVIEW B Y: DATEAPPRO 6'ED: i-i 8 b'�( <br /> ----------------------------- <br /> FEES ?'0 BE CHARGED: tYlisc. Fees Calculc�ted By: <br /> PERh�IIT Yes � No <br /> PLAN RE VIE GV Yes f No SE LVER GONiVEGTION <br /> STATE SURCHARGE Yes� tVo tiVATER COtWECTIOIV <br /> I�VVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No '� SITE INSPECTION <br /> Number of SAC U�zits OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZO[YING CHECIC LIST Zonir:g District: /l!d C!�'+4N0�. <br /> Fir•e Depa��hnerit: Post OfJcce: Scl�oo!District: __, <br /> Loa,�frea: Sq.f't. Acres Width Depth <br /> Sic�vey Subrriitted: Yes No Date of Siuvey: <br />- Proposecf Setbacks: <br /> F�•oru(Lalce): Right Sid : <br /> Rear(Streei): Left Si e: <br /> �ldjacent St��ucteu•es: � GVetlRnd; <br /> Bitildi�rg Height.• Def. Hgt. eak Hgt. <br /> Lot Cove��age: � <br /> Grading.• Staff Approva[D�cte: v: CozuTcil Approvc�f Date: <br /> Septic: Sraff Approval Date: BY� <br /> Zoni�ig File: # Resolution: # Resolt�tion Date: <br /> Shoreland Dish•ict: <br /> Avg. Setback: Bla�ff Set ck.• Lot Coverage: <br /> Existing Proposecf <br /> Hardcover: 0-7.i' <br /> 75-250' <br /> 250-500' <br /> 500-!000' <br /> Hardcaver Varia�zce Reqc�ir•ed: Yes No Date of Coccncil Approval: <br /> REtIlARXS(irt laouse): <br /> 31 <br />