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1 y <br /> CHECK OFF LIST FOR ISSUA�TCE OF PERil�1ITS <br /> _ FOR OFFICE USE ONLY . � . <br /> ADDRESS OR LEGAL: t�"t Z q N o R��-� �=A z� ��'� . <br /> PID: <br /> DESCR�TION OF WORK: , � <br /> . <br /> ZO�TG REVIE�v BY: DATE APPROVED: / i- � -�a <br /> BITII.�DING REYIE�BY: DATE APPROYID; !r - �-v-p <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pEgMIT Yes ✓ No :. <br /> pLAN REVIE�V Yes r/' No SEWF.�t CO�INECITON _ <br /> STATE SURCHARGE Yes !/ No WATERCONNECTION _ <br /> II�TVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZO\ZVG CHECS LIST zoning Dis�icc: IZ l2- 1 � . <br /> Fire Department: LoNc, l��cx: Post Office: (.� School District: �fZoNa � <br /> Lot Atea: Sq.fr. v Acres Width �-- Depth '–' <br /> Surve; Subu:itted: Yes� No Date of Survey: 1 d' l Z c�v <br /> Proposed Setbacks: � <br /> y <br /> Front(�ake�: I OS = Right Side: � c�.5� �- <br /> Rear(Street): Z.53` 'r' Left Side: I bO� �= <br /> Adjacent Structures: ✓�'t-7�c.i-t e,.,-*� Wetland: at I Q . <br /> Buil�ing Hei�ht: Def. H�t. __ �,k, Peal:Hot. O.l� <br /> Lot Coverage: N��- <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Scaff Approval Date: "' By: <br /> Zoaing File: # — Resolution: � Resolutioa Date: _ . <br /> Shoreland District: ..,GS ��/�( <br /> Avg. Setback: N//�– Bluff Setback: /�t/l� Lo�Covenge: _ <br /> ExistinQ Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' -- Q �L <br /> 2sasoo� � <br /> soo-iaoo� - <br /> Hazdcover Yariance Required: Yes o.._. No Date of Couacil Approval: <br /> REI�IARKS (in house): <br /> 7 <br />