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CHECIi'. OFF LIST FOR ISSUA.I�ICE OF PER1ti11TS <br /> FOR OFFICE USE ONL.Y , ' <br /> _ , ti. <br /> ADDRESS OR LEGAL: 2Z-?S C�oNcv� c�.a c�rt.c.�.c� — <br /> PID: <br /> DESCRIPTION OF�ORK: L�rc��-erv ���''�r r'-��" <br /> . <br /> ZOVLti'G REVIEti'S�BY: �'l/ l r�- DATE APPROVED: <br /> BUII�D1iVTG REVIE�BY: � . DATE APPROYED: �, -i �3 -c�� . <br /> FEES TO BE CH.4RGED: Niisc. Fees Calculated By: � <br /> pEgMIT Yes ✓ No =• <br /> pl,p,N REVIEW Yes c� No SEW�C0�INECTION <br /> STATE SURCHARGE Yes �—'' No �ATF�CONNECITON <br /> �rVESTIGATION FEE Yes No PARK FEE <br /> SAC � Yes No SITEINSPECTION � <br /> Number of SAC•Units OTHER (specify) <br /> ZO\�IG CH�CS LIST zonin�Districc: N v c r-�Y}r�� _ . <br /> Fire Department: Post Office: School District: • ' • <br /> Lot Area: Sq.ft. Acres ' Width Depth <br /> Surve;�Subritted: Yes No Date of Survey: <br /> Propvsed Setb2cks: � <br /> Frone(La.ke): Riobt Side � <br /> Rear(Screet): Lefr Side• <br /> Adjacent Strucmres: � etland: • <br /> Buildin�Hei�ht: Def. H�t. ak Hot. <br /> Lot Covera�e: � <br /> Gradin�: Stafi Approval Date: _ gy: Council Approval Date: <br /> Septir. Staff Approval Dace: By: <br /> Zoaing File: � Resolution: ; Resolutioa Date: • <br /> Shoreland District: <br /> Av�. Setback: Blufi tback: LotCo�•en�e: <br /> E�� , Praposed <br /> Hardcover: 0 75' - . <br /> 75-250' <br /> 250-500' <br /> 500-1000' - <br /> Hardcover Variance Required: Yes No Date of Council Aoproval: <br /> gEI�LA�tb'.S(in house): <br /> 7 <br />