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� ' CHECK OFF LIST FOR ISSUANCE OF PERD�IITS <br /> . FOR OFFICE USE ONLY � . <br /> ADDRESS OR LEGAL: �-1�-1 S l..��l l t�6 s-Riri C��� <br /> PID: <br /> DESCR�TION OF WORK: dV[—�,�5 2�=S <br /> . <br /> ZO�'G REVIE`�BY: DATE APPROVED: tC� •3-�� <br /> BLTII.DI�i tG REY�tiV BY: DATE�iPPROYED; 10•3 �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pgRMIT Yes � No :. <br /> pLAN REVIEW Yes ✓ No SERTER CONNECTION <br /> STATE SURCH�IRGE Yes ✓ No WATERCONNECIION 3sr�`'� <br /> II�IVESTIGATION FEE Yes No � pARK�E <br /> SAC Yes �/ No SITEINSPECTTON <br /> Number of SAC�Units �_ OTHER (specify) <br /> ZOYL�iG CH�CS LIST Zoaing Dis�icc: L�- <<-- � <br /> Fire Department: �.t��rs/_� Post Office: ll f/��T+'� School District: �.1EST��+'`>� _ <br /> Lot Area: Sq.ft. I 2�8 C� Acres .n 2 � Widch Ze Depth (o�'( <br /> Survey Submitted: Yes pC No Date of Survey: Q ' I`-t`d� <br /> Proposed Setbacks: � <br /> Froat(L-�ee): Z�( Right Side: <br /> Rear(Sueet): � Left Side: � <br /> Adjacent Structures: �4TI74c�l+e� Wetlaad: N �l'� . <br /> Buildin; Height: Def. H;t. �•��- Peal:Hot. <br /> Lot Covera�e: <br /> Gradina: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolutioa: # Resolution Date: . <br /> �•� , Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Covenge: <br /> E���, Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250.500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Couacil Approval: <br /> 1tEl�L�,RKS (in house): <br /> 7 <br />