20160714112219.pdfrLANNING DATASTREET FILE
SINGLE FAMILY RESIDENTIAL .
Name: Date:
Site Address Tax Parcel:��
."A
Project Description: �r1�tr,or re..�ode.� for Ad"14- 6,%;,Jr Plan Check #: 61fl1p��p16S
inc�..d: � convvs;or. o� }e -,.dd Vs,�dr I W-10,4- d 10�rpor,,
Reduced Site Plan Provided: (YES /Zoning;
Map Page: Corner Lot: (YES lei Flag Lot: (YES N
Critical Areas Determination #:
❑ 'Study Required
❑ Waiver
SEPA Determination: a-Ae. ;;,O,
12 Exempt
❑ Needed (for over 500 cubic yards of grading)
❑ Fee ❑ Checklist ❑ APO List with notarized form
U
Street:
Street: I Side:
❑ Detached Structures:
❑ Rockeries:
❑ Fences/Trellises:
❑ Bay Windows/Projecting Modulation:
❑ Stairs/Deck:
I .Wetback.
Side:
z
Setbacks "
Side:
N/A • All work iS
Rear:
Rear:
Daum. Point: Datum Elevation:
Maximum Height Allowed: i Actual Height:
other
Parking Required: Parking Provided:
Lot Area: Maximum Lot Coverage: 351/o
Lot Coverage Calculations:
o
ADU Created: (YES N
Subdivision:
Legal Nonconforming
..
g onconforming Land Use Determination Issued: (YES NO
Comments
r
Plan Review By:
Proposed:
Planning Data Forth 07-14-09