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�CHEC3K OFF i�IST FOR ISSUANCE OF �E�tMITS <br /> FOR OFFICE USE ONL�.'' � . <br /> A.DDRESS OR LEGAL: 133-7 1zc.s� �o c�,; C�n«-�- _ <br /> PID: <br /> AESCRIP'I'IO�T OF WORK�_w�Ll.WIArJC�-� ��c�STiN b C��4l�ACsC._ r�v-t�-o-- Z--!?�o,�,�� <br /> ZOY.T�i tG REVIE�V BY: /� �tA DATE APPROVED: <br /> gULLDING REV�IEtiV EY. . . DA.T'E APPROVED; t o- -d co. <br /> FEES TO BE CHARGED:� Misc. Fees Calculated �y: <br /> pEg�T Yes � No <br /> PLAN REVIEtiV � Yes _�/ No SEVVFsR CO�NECTION <br /> STATE SURCHARGE Yes r/ No �VATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No —� STTEINSPECTTON <br /> Number of SAC•Units __ OTHER (specify) <br /> ------------------------------------------------------ <br /> ZONiYG C�iE.CK LIST zoning Discricc: N� G�-��^'G e . <br /> Fire Deparcment: Posc Office: School Disuict: • � <br /> Lot Area: Sq.ft. Acres __ � W' th Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: • : <br /> Front(Lake): Ri?�t Si e: . <br /> Rear(Street): Left 5 de: <br /> Adjacent Structures: �Vetland: <br /> Buil�lin�Heighc: Def. Hgt. p �Hg�• - <br /> Lot Coverage: <br /> Grading: Sta£f Approval Date: By: Council Approval Date: ' <br /> Septic: Staff Approval Da[e: �Y� <br /> Zoaing File: � Resolutioa: # Resolution Date: <br /> Shoreland Districc: Lot Coven�e: <br /> Avg. Setback: Bluff Setba k: <br /> E�istino Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Ela:dco�er Va:iance Requiree�: Yes :�o D3te of Cotsn�il App�ov21: <br /> F.E��L�R�iS (in house)� <br />