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, Ci-�C� OFF i�IST FOR iSSUANCE O�' �ERMITS <br /> F�R OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z I�0 >�C ��-���`->�!� <br /> PID: <br /> DESCRIPTIO�i OF WORK: ( " u�l" k A �'�'r`i <br /> ---------___1S11�. n- ---�-{� Q------------------------------ <br /> ZO.�I�Ii G REVIEtiV BY: DAT'E APPROVED: p <br /> BUILDING REVIE`V BY: DAT'E APPROVED: s'� 8 •�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`V Yes i✓ No SEWF12 CO�TNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ----------------------------------------------------------------------------------- <br /> ZONIi�IG CHE.CK LiST zoning Disc:ict: L'(Z l— 1 G <br /> Fire Department: Post Office: School District: <br /> L,ot Area: Sq.ft. �S��_Acres Width (02,�� � Depch 2�0.�l � <br /> �� ✓ No Date of Surve Z 00� <br /> 5urvey Submitted: Yes Y� <br /> C���1/IG�IV►RI WAS M 5�7'���,� . <br /> Proposed Setbacks: "��- <br /> Froat (Lake): � �} �kt Side: �1 � <br /> ��Q�. . <br /> Rear (Street): h(/� �eft Side: �_'-� <br /> Adjacent Structures: -- Wetland: � <br /> Buildin� Height: Def. Hgt. l� ( � Peal:Hgt. /U I 14 <br /> Lot Covera;e: tia c�— <br /> Grading: Staff Approvat Date: �!/� By: Council Approval Date: <br /> Septic: Scaff Approval Date: � BY� �`' <br /> Zonin� File: (# l Z.�o Resolutioa: � 3295 Resolution Date; _���T <br /> Shoreland District: ✓ <br /> Av'. Setback: N�A Bluff Setback: n1//� LAt Covera�e: �✓"G��� <br /> EzistinQ Proposed <br /> a <br /> Hardcover: 0-7�' <br /> 75-250' � G�� <br /> 2�0-500' <br /> 50a-1000' <br /> Hardcover V�riance Required: Yes No Dace of Council Approva�: <br /> �EtiLARKS (in house): ��v � 1 <br /> S " 1 l`� Ct � <br /> � <br />