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. � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> . ADI�RESS OR LEGAL: 2�t z 5. ;n,n�a P 3,�:� z,�ri�. <br /> PID: <br /> DESCRIPTION OF WORK: f'oRc.rc ,�`�L;.t�% ��4�a� � �,,�r:�a�.J j1�r';�-.�.s�`�v�v�— <br /> ZOY�TG REVIEW BY: DATE APPROVED: �- �y- ��r <br /> BUII.,DING REV�W BY: �/.,,C DATE APPROVED: s-�Y-�y <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERIVIIT Yes �!' No <br /> PLAi�t REVIEW Yes ;/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ;/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 1 7���S Acres .`�{ Width �t� Depth � 4� <br /> Survey Submitted: Yes � No Date of Survey: n^i ��u `l—ff-�i�{ <br /> Proposed Setbacks: <br /> ' Front (�aice): I ��1 <br /> Right Side: ZS ' <br /> � <br /> Rear (Street): 3`d Left Side: a 5` <br /> Adjacent Structures: �-T-r�c�cc-r��l �Vedand: n) i F'9 <br /> Building Hei;ht: Def. Hgt. v.�` Peak Hgt. <br /> Lot Coverage: 1 3•� <br /> Grading: Staff Approval Date: � �,q By: Council Approval Date: <br /> Septic: Staff Approval Date: ,� �� By: <br /> Zoning File: # — Resolution: # -- Resolution Date: " <br /> Shoreland District: �`� <br /> Avg. Setback: Bluff Setback: L.otCoverage: 1 3•� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENLARKS (in house): <br /> 7 <br />