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CHECK OFF LIST FOR ISSUANCE OF PERiI�ITS <br /> FOR OFFICE USE ONLY `' � <br /> ADDRESS OR LEGAL: LSt�c� s►-���w�:��� . � <br /> PID: <br /> DESCRIPTION OF WORK: -3,�-tVTt,���,2 �,h,s,�,�,�,,p�,.. <br /> --------------------------------------G;Z----�- <br /> ZO�G REVIEti� BY: � �. DATE APPROVED: 5r -4 <br /> BUILDING REVIE�'V BY: , J , ,,��,� DATE APPROVED: �, � Z4 -�i� <br /> ------------------------------ -- <br /> FEES TO BE CHARGED: Misc. Fees Calcula[ed By: <br /> PERMIT Yes �/' No ' <br /> PLAN REVIEW Yes _� No SEWER C0�INECZTON <br /> STATE SUR�H�1RG� Yes _�/ No WATER CO�TNECITON <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITETNSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ------------------------ ----- <br /> _ ZONING CHECK LIST Zoning District: �-- �1� G�{�,��(� <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Wid[h Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (La.ke): . Right Side: <br /> Reaz (Stree[): Leh Side: <br /> Adjacent Structures: tiVetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage• <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; <br /> Zoni.ng File: # Resolution: # Resolution Date: � <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' . � <br /> 250-500' � <br /> 500-1OQ0' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> i <br /> RE112A.RKS (in house): <br /> � � <br /> 26 . <br />