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� . � . <br /> �CHECK OFF i�IST FOR ISSUANCE OF �ER112'iT5 <br /> FOR OFFICE USE ONLY� . <br /> p,UDRESS OR LEGrAL: �.� c6 S LZ �1 C� Cx� ct R� <br /> PID: <br /> DESCT21FrI'I��T OF W�RK__ (Z�_ vw�Q<:.Z----------------------------------------------------------- <br /> ZOVNG �2EVIEtiV BY: /� DATE APPROVED: <br /> �Y BY: ' . . DATE APPROVED; ��-2,-o— <br /> B'(TII�AIN�-- ------ ---- ---=-----------------------=-----------------------t----- <br /> �'EES T4 BE CHARGEA: Misc. Fees Calculated By: <br /> p�RMIT Yes � No <br /> PLAN REVTEtiY � � Yes � No SE�VE�CO1�II�TECTION <br /> STATE SURCHARGE Yes __�/ No tiVATE.RCONNECTION <br /> INVESTIGATION FEE Yes No —�� PARK FEE <br /> SAC Yes No _1� SITEINSPECTTON . <br /> Number of SAC�Units OTHER (specify) . <br /> ZOYI��tCr CHE.CK LIST Zoaing Districr. �a c�f�� � . <br /> - � <br /> Fire Deparcment: Post Office: School District: • � <br /> L.ot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted:� Yes No Date of 5un�ey: <br /> Proposed Setbacks: � . : <br /> Front(Lake): Right ide: _ <br /> Rear(Street): Left ide: <br /> Ad;acent St�-uctures: SVetla�d: <br /> Suildin�Hei�t: DeE. Hgt. Peal:Hgt. <br /> Lot Covera;P: <br /> Gradin�: Staff Approval Date: By: Council Approval Date: ' <br /> Szptic: Staff Approvai Dzte: aY� � <br /> Zoain� File: � Resolution: R Resolution Date: <br /> Shoreland District: <br /> Av;. Setback: E!u `SetSack: Lo!Cove2;?: <br /> ��5f o Propased <br /> Ha�ecover: G-7�' <br /> 7�-250' <br /> 2�J-��.��' <br /> �uQ-!QC�J' <br /> /'�_i'_ A� �y.._I,. <br /> �?�CtO'':Z' VZl%C2 F2�1:'.i2`: i�2� �+ J::= v• L.v_::: n•.:=. �- <br /> ;c.EZL��-�S �.i.�h0��e): <br />