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CHECK OFF LIST FOR ISSUAi�iCE OF PERI�II'I'S <br /> FOR OFFICE USE OYLY - <br /> ADDRESS OR LEGAL: _ 31l� Ltv�N�sT o J•r � � � � <br /> PID: <br /> DESCRIPZ'ION OF WORg: N c w �.5 <br /> ZOr�"G REYIE`V BY: DATE APPROti�'D: 3•25 •oo <br /> . �. BL7LDLVG REY�ti'V BY: � � � DATE APPROVF�D; 3-24-O° ' <br /> FEES TO BE CHARGED: � Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No . <br /> pL,�,N REV�W � Yes ✓ No SEWER CO��.CITON <br /> STATE SURCHARGE Yes ,/ No � �VATERCON�ECTLON -���� <br /> INYESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes �' No � � STI'EI�i TSPECTTON <br /> Number of SAC•Units �_ OTHER(specify) <br /> ZO`Z1G CH�CK LIST Zonin�District: �_R -�c - ! <br /> Fire Department: rvw�,w� Post Office: t,�.�,4�,,� School Dissict: (�.�Psra`�4 <br /> Lot Area: Sq.ft. 1;°t�S.12 Acres , o`{5' Width 3V.�1 Depth �o�(.�� <br /> Survey Submitted: Yes �c No Date of Survey: Z "2 �g'da <br /> Proposed Setbacks: � � <br /> Front(I.a.ke): Zt� Right Side: � (� - . <br /> Rear(Street): � ' Left Side: �s <br /> Adjacent Structures: _��c.�tc�o �� Wedaad: /�I� <br /> Building Hai�ht: Def. Hgt. �-�- Pea.�Hgt. <br /> Lot Covera�e: N�� • <br /> Gradin;: Scaff Approval Date: o.(� By: .��� Council?,ppro��zl Date: <br /> SeQdc: Stafi Approvat Date: /V /�' By; <br /> Zanin�File: f � Resolution:� Resolucioa Date: '. <br /> Shoreland District: � <br /> Av�. Setback: Bluff Setback: LocCo��ra�e: <br /> • Ex'istma Progosrd � <br /> ^/� Hardcover: 0-7�' . <br /> 75-250' _ <br /> tiasao� ________ <br /> SQO-1000' _ <br /> Hardcover Variance Required: Yes No Date of Counci? Approval: <br /> REl��L4R�iS ('in house): /1!D �t 7� (/9Sv C OGv���x � �� <br /> �7 0"1 C..�il1 c NG S?vJ �r� <br /> p N� �,pc� ��en���C� <br /> 7 <br />