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CHECK OFF LTST FOR ISSUANCE OF PER�I�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l.o� Z. L' �r �,,� �o v e (a y ` <br /> PID: ve� <br /> DESCRIP'�',iONOFWORK: on cf 2-c�,,r- � <br /> , <br /> ------------------------------------------------- <br /> ZON.�i tG REVIEti� BY: Q 'e„ti � DATE APPROVED: � �� y <br /> BUILDT�i tG REV�W BY: DATE APPROVED: . . <br /> ---------------------------------=- <br /> �EES TO BE C�IARGED: � Misc. Fees Calculated By: <br /> PERNIIT Yes x . No ' <br /> PLAN REVIEW Yes �_ No SEW�CONNEC!'iON <br /> STATE SUR`H�RG� Yes o< No WATER CO�TNECTION <br /> Ii�YESTIGATION-PEE Yes � No PARK FEE . <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZO�tING C�3ECK LIST Zoning District: L��� j� ----------------------------------- " ---- <br /> Fire Department: y�,�,�uN,� Post O�ce: s��-�..-r-�y�- School District: (,,1�s�I�I�C/4- <br /> Lot Area: Sq.ft. -Z.�� �(�C Acres • � �- tiVidth _}(jJu,�v�-!� Depch <br /> Survey Submitted: Yes_� No Date of Survey: �,� r'� � <br /> Proposed Setbacks: �� � <br /> � ` ��'� <br /> Front (La.tie): . 12�� Right Side: � <br /> i I <br /> Reaz(Street): 3 Left Side: � � <br /> Adjacent Structures: A��acl..�c� �Vetland: /�//� <br /> Building Heioht: Def. Hgt. �� 1� Peak Hgt. -- J <br /> Lot Coverage: Z 2.`�0 I�] <br /> Gradin?: SCaff Approval Date: --- . By: — Council Approval Date: '— <br /> Septic: Staff Approval Date: -- gy; �:- <br /> Zoning File: � � Resolution: # — Resolution Date:� — � <br /> Shoreland Dis�ict: � � <br /> Avg. Setback: /J1 Bluff Setback: _�/(/�- Lot Coverage: <br /> � ' Existing Proposed � <br /> Hardcover: 0-75' - � <br /> 7s-2so� a.g.cP �'s�l8 . —,��,�-s�-2y,g �]o s ,oc�o.�.3s:� <br /> 2so-sao� � . <br /> 500-1000' <br /> . Hardcover Vaziance Required: Yes No� Date of Council ApprovaI: <br /> . � <br /> REI�ZA.RKS (inhouse):=["�, �r � nz;��� � a.ra4 0 ��� , ���. �a ��X ��{. <br /> -��-c �r p��,'��.�.0�c w, /l vQ, ,►�,�1Q $18•�. � o� �rivP�,o �w 0.nc� a-3 I � <br /> _ o� d c c� . 1 l,.,e..., �,,� � 1 I a cSi d � (o k i G �v�. ��e.�e c�a..1c� o.v�c� <br /> ��'x l�' S� ��,.���..�ik -�-a � �r a q�. <br /> ' ''' 26 <br /> , ��:� . . . <br />