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r • <br /> - �CHT�� Ok`F i�IST FOR ISSUANCE OF �'ETtN1ITS <br /> ' FOR OFFICE USE ONLY � . <br /> ADDRESSORLEGAL: �1gc� SHArJYwbo✓� ��� <br /> PID: <br /> DESCRIP'I'tO�T OF WOR.K: 2�Pwc� �x � 5�-�N � �D�c� - i n, �c��,o __ _ <br /> ZOY .J�i tG REV]E'4V BY: ----�--- --------- DATE APPROYED: �o •b • o to <br /> V'TEtiY BY: � . . DATE APPROVED• 0 6- S.. <br /> �UII�DIN'G RE � - <br /> FEES TO BE CHARGED:� Misc. Fees Calculated By: <br /> pEg�T Yes ✓ No <br /> PLAN REVIEtiV � Yes ,/ No SE�VFiR COYNECTION <br /> STATE SURCHARGE Yes _� No . �rVATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No � STTEINSPEC'�'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZOiY'L�i IG CT;iE.CK. LIST Zvaing Districr. _/v� G H A N q.Q , <br /> .J <br /> Fire Department: Post Office: School District: • � <br /> I,ot Area: Sq.ft. Acres _ � ' th Depth <br /> Survey Submitted: Yes I'do ate of Survey: <br /> Proposed Setbacks: • ; <br /> Froat(Lake): Ri�t Side: , <br /> Rear(Street}: Left Side: <br /> Adjacent Structures: Wetl d: <br /> Builclin�Height: Def. Hgt, Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: ' <br /> Septic: Staff Approval Date: �Y� <br /> Zoain; File: � Resolutioa: � Resolution Date: <br /> Shoreland District: Lo[Covera�e: <br /> Av�. Setback: Bluff Setback: <br /> E�.isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Od0' <br /> �Ia:dco�er V2:iance Reyuiied: Yes No a�e ef Cvuncil Appr�v�: <br /> R.E��L�S (in house): <br />