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Ci3ECi�OFF i,IST FOR ISSUANCE OF �ERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: �b(�J L�v r�v 6 S`�� A-� <br /> PID: <br /> DESCRIPTION OF WORK: Q�tT- �J cu� �Z ���-� <br /> ZOVNG REVTEW BY: DATE APPROVED: ��• 2 Y• o� <br /> SUII�DING REY��� BY: DATE APPROVED: Y-z-f-o i. . � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIE`� �� Yes v No SEWE.R CO�INECTION <br /> STATE SURCHARGE Yes � No WATERC�NNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes I�o SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�IIi�TG CHE.CK LIST Zoning Districr. . <br /> Fire Department: Post Office: School District: � � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�o _ No Date of Survey: �-`f-g3 <br /> Proposed Setbacks: �, � , . <br /> Froat(�: bb � � Right Side: `i� <br /> Reaz(S�rcet): 2$ � Left Side: N�iP► <br /> Adjacent Structures: A'rn�+C.µP.� Wetlaad: nl �A <br /> Buildin'Heighc: Def. Hgt. �J (f1- Peak Hgt. N //� <br /> Lot Covera'e: No C N✓{�6� <br /> Grading: Staff Approval Date: — By: Council Approval Date: ' <br /> Septic: Staff Approval Date: — BY� <br /> Zoning File: f# — Resolution: # Resolution Date: <br /> Shoreland District: AlC� _ <br /> Avg. Setback: Bluff Setback: I.ot Covera�e: <br /> Existin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> SOQ-1000' <br /> Hardcover Variance Required: Yes No Da[e oE Council Approval: <br /> RE`�L4RKS (in house): <br /> � <br />