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23102 94TH AVE W
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JAXACCOUNT/PARCELM
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: F1 Conditional Waiver Study Required [] Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER - list permit #'s):
PLANNING DATA CHECKLIST DATED: -7/701io
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USEIENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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PLANNING DATA 0
SINGLE FAMILY RESIDENTIAL
11 STREET
Name: VA e: _?�
Date-
0
SiteAddress:
9 q4L, A,
Tax Parcel 2-:t ()a_�Goo(o q,300
Project Description: ConeNrc&4- \SOS.9.
Plan Check#: Q>LZ-Ac)\o oq97
Reduced Site Plan Provided: (YES / NO)
Zoning:
Map Page:
Fc orner Lot. (YES MTO
Flag Lot: (YES
Critical Areas Determination #:
Study Required
Waiver
SEPA Determination: iExe4,\C&
Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacks
Street:
Side: 4.Sl
I Side:
Rear:
Actual Setbacks
Street: KE)
Side:
Side:
Rea r:
Detached structures:
El Rockeries:
El Fences/Trellises: Noc\e *O(Z"
El Bay Windows/ Projecting Modulation:
NY Stairs/Deck: Exz!E4
Height
Datum Point: M""�e, C,2)\"e_r
Datum Elevation: + c:>o
Maximum Height Allowed:-
Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area: 1�t4
9 � (j(_X_p S10 )< I cn oer
ximum Lot Coverage: 35% Proposed: k k c?,7
Lot Coverage Calculations:
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES NO
Comments
Plan Review By: Planning Data Form 07-14-09