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CHECK OFF LIST FOR ISSUANCE OF PERiIUTS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAY,: ��z s L�t�J r,�,2 p Gt tzc� ' <br /> PID: <br /> DESCRIPTION OF WORK: sy�p . <br /> ZONING REV�`�� BY: 1 � Y DATE APPROVED: �i -z z-S d`- <br /> BUIZDT�i 1G REVLE�� BY• DATE APPROVED: y' • L z-S � <br /> kEES TO BE CHARGED: - � Misc. Fees Calculated By:, ~ � <br /> PERMIT _ _Yes ✓' No ' <br /> PLAN REVIEW Yes � No SEWER COYNECTiON <br /> STATE SUR`H��tG� Yes l/ No '4�AT�CO�NECITOiV <br /> INVESTIGAZ70N-FEE Yes 4' No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------- ------ --- <br /> ZO\TING CHECK LIST zoning Districc: L/L - I� � <br /> Fire Department: ��lhf rvt9 post Office: ���t,q. School District: c.c�-e s �r�(L�r4 <br /> L,ot Area: Sq.ft._ /iro C /�� Acres 1�Vidth Depth <br /> Survey Submitted: Yes No � Date of Survey: <br /> Proposed Setbacks: <br /> /�..e�5 . <br /> Front (La.tie): ._ � l b6` Right Side: 12� � <br /> Rear(Street): 35� Left Side; �S� <br /> Adjacent Struc[ures: Z,+ ` t tiVetland: /v ld} <br /> Building Height: Def. Hg[. _ c9. I� Peak Hgt. -- <br /> Lot Coveraoe: _ b,1G <br /> GradiaJ: Staff Approval Date: � . By: Council Approval Date: <br /> Septic: Staff Approval Date: � gy. � . <br /> Zoning File: # Resolution: # Resolution Date:� - <br /> Shoreland Dis�ic[: � � <br /> Avg. Setback: Bluff Setback: Lot Coveraae: � <br /> N� ` . Existing Proposed � � <br /> Hardcover: 0-75' <br /> 75-250' . . - � <br /> 250-500' . . <br /> SQO-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> . � <br /> REI�ZARKS ('in house): � <br /> z � _ . - . <br /> : ��y � 26 <br /> � �t'. . . <br />