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, CHECK OFF LxST FOR ISSUANCE OF PER�I7ITS <br /> � ' � POR OFFICE USE ONLY <br /> ADDRF�SS OR LEGAL: _ 3�(5 C.�"-i/��- sr�.�-r�� � . <br /> PID: ;.� -/i� - � 1 y c -� <br /> DESC�tIPZ'ION OF WORK: _ �C�� ��5 � <br /> ZO�'IiYG REVIE�'Y BY: � � DATE APPROVED: ~ <br /> 33U1ZD .T�Ii 'G REVJEti'Y BY• � . . IDA3'E APPROVED: . . <br /> k�ES TO BE CHARGED: • � � Misc. Fees Calculated By: ~� N <br /> ��� PERMIT -Yes ✓� No . <br /> ��� PLAN REVIEW Yes � No SEWER CO�NECTION <br /> � <br /> STATE SUR`H�.I�Cr c Yes � No ��ATER CO�tEC'ITON <br /> 17VYESTIGA'IZON-FEE Yes No PARK FEE <br /> SAC Yes No o< SITEINSPECITON <br /> Number of SAC Units -r'!L4/vS�L.� /=�.W„,� ��,,�, ��OTHER (specify) <br /> --------- ----- ---- <br /> �ON�'G C�iECK LIST zoning Districc: C,i2-�/� � <br /> Fire Departmenr. (,uni�„ �Atc.� Post Office: (�c, �,�-�� School Distzict: __���,onrp ' <br /> Lot Area: Sq.fr._ 1'l, 0 —"" Acres_ I•�7(, �Vidch 2?�? Depth 2�45,(es Ati-d <br /> Survey Submitted: Yes OC No Date of Survey: I Z-t 6- 9 9 <br /> Proposed Setbacks: � <br /> Front (�a?cce): ._ IISb'� R.ioht Side: N -- -- _-.- — _� <br /> .__ 1I1� s — , <br /> Rear (Street): `j�{' -� Left Side: �0 r } � <br /> . Adjacent Scructures: N �!A- tiVetland: N �la <br /> Buildina Height: Def. Hgt. Z1�.5 Pe�.k Hgt. 33•S <br /> Lot Coverage: (�.l< <br /> Gradin�: Staff Approval Date: - By: Council Approval Date: <br /> Septic: Staff Approval Date: N (/� By; • � . <br /> Zonino File: � �Z��.� zy.�� Resolution: ��_ Resolution Date:��/�- Z 3 - 5� <br /> Shoreland Dis�-ict: �YD yZo`j • <br /> Avg. Setback: Bluff Setback: Lot Coveraoe: <br /> � ' Existin� Proposed <br /> Hardcover: 0-75' <br /> 75-250' . . � ' <br /> 250-5Q0' . . . <br /> SOQ-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> � <br /> REI�SARK.S ('in house): � <br /> � - _ . - . <br /> : .;� . 26 <br /> , ��� . . <br />