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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y�6C� N�o2-r�+ A�2w• pr2 <br /> PID: <br /> DESCRIPTION OF WORK: pc-rp,ct-�-c_-�'J Gd�4�?,46� <br /> ZONING REVIEW BY: DATE APPROVED: .�'-3-o y <br /> BUILDING REVIEW BY: DATE APPROVED: s-3-o� <br /> FEES TO BE CHARGED: Atisc. Fees Calculated By: <br /> PERMIT Yes ,/ l�o <br /> PLAN REVIEW Yes �' 1�'o SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ l�'o WATER CONNECTION <br /> INVESTIGATION FEE Yes l�o PARK FEE <br /> SAC Yes l�o SITE L�ISPECTION <br /> Number of SAC Units OTHER (speci�y) <br /> ---------------------- <br /> ZONING CHECK LIST Zoning District: R���� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. �4���109 Acres (.$ Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (�el�e): .so Ri;ht Side: (oo� '� <br /> Rear(Stie�t): 3�' fi Left Side: toa' } . <br /> Adjacent Structures: �?O� � VL'etland: — <br /> Building Height: Def. Hgt. Z2� � pealc Hgt. 2 3' <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — Br•: Council Approval Date: <br /> Septic: Staff Approval Date: — B}�: <br /> Zoning File: # y- 2.q�t� Resolution: # Resolution Date: �-�Z–��1 <br /> Shoreland District: NO <br /> Avg. Setback: BIufE Setback: L o t C o v e r a g e : <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 /> REMARKS (in house): <br />