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CHECK Ok'k' LXST FOR xSSUANCE OF PERi1�I�TS <br /> � FOR OFFICE USE ONLY <br /> ADDRE.SS OR LEGAL: _ 3y t o rV c�2il�F � l�f-o 2� �2 - <br /> �PID: <br /> DESCRIPTION OF WORK: �C�c -f- �,,.� �,v,�o w � � <br /> ZO�III�tG REVIEti�BY: F � ~ DATE APPROVED: l U•I S�S`� <br /> BUII,DT.NG REVIEti� BY: DATE APPROVED: i o-�S--S� <br /> . ��_-------------- <br /> �'EES TO BE CHARGED: � - � --�---�--- <br /> PERNIIT Misc. Fees Calculated By: <br /> _ Yes �' No <br /> PLAN REV�W Yes � No SEWER CO�NECTION <br /> STATE SUR`H1�kG� Yes �/ No WATER CO�INECITON <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK I,IST zoninQ Districc: L2-/L NY--�-----�---------- --�-- � -M <br /> a <br /> Fire Department: L.���iGc post Office: �t,,-7,�.-�yff- School District: (��j�-�� <br /> Lot Area: Sq.ft._ 29,3Zr( Acres ,�o ! Width y <br /> . ��''�S Depth 3 Z S 6 <br /> Survey Submitted: Yes_� No Date of Survey: Oer �r� s'-/6 -�D� <br /> Proposed Setbacks: <br /> Fr��(La.�Ce): . 145� t Right Side: Zp' -� . <br /> r <br /> R�ees(Street): _ 11y t- Left Side: 3g' f <br /> Adjacent Structures: _�-t�x�c�-t-c,-� tiVetland: N(�A <br /> Bulldina Heioht: Def. Hgt. — Peak H�t. — <br /> 0 <br /> Lot Coverage• (�,� <br /> Gradin�: Staff Approval Date: -- By: -' Council Approval Date: ' <br /> Septic: Staff Approval Date: — gy; . <br /> Zoaing File: #_ ,�l/l i'4 Resolution: # — Resolution Date:� - — � <br /> Shoreland Dis[.-ict: _ �e5 . � <br /> Avg. Setback: (�,�L B1uffSetback: /��/-�- L,otCoveraoe: U .�� <br /> E���� Proposed � � <br /> Hardcover: 0-?5' <br /> 75-Z50' • <br /> 250-500' . . D,�C - <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No ,x Date of Council Approval: <br /> � Y <br /> RE�ZA.RKS ('in house): � <br /> � - _ . • . <br /> : "�i � 26 <br /> . ��A . . <br />