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, � CHECK OFF LTST FOR ISSUANCE OF PERiI�iITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGA.L: z b�� .,c-��n,n�w�;:,:,,� (tc,,� � <br /> PID: . . _ � <br /> DFSCRIPTION OF WORK: � � <��.�T in.a�-� 2�-��a,�. � <br /> -------------------------------------------- <br /> ZONIiYG REVIEtiV BY: r� ,,,� DATE APPROVED: �- c - y�---- <br /> BUII,DING REVIE�� BY: DATE APPROVED: 1.-c -5 k; <br /> ------------------------------ -- <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,✓' No ' <br /> PLAN REVIEW Yes �" No SEWER CONNECTION <br /> STATE SUR�HA.RG�. Yes � No WATER C0�INECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------- ------- <br /> ZONING CHECK LIST Zoning District: CJ' - !� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. _��� ���l Acres i l�j tiVidth Depch <br /> Survey Submitted: Yes i No Date of Survey: <br /> Proposed Setbacks: c�� �,— (�,p� <br /> Froat (Lake): . ,u t,4i� Right Side: � � � <br /> Rear (Street): ��7' � Leh Side: 'ZO'�i <br /> Adjacent Structures: i L+:' �Vetland: �r'� <br /> Building Height: Def. Hgt. c�•ic Peak Hgt. <br /> Lot Coverage: c�• � <br /> Grading: Staff Approval Date: �io� By: Council Approval Date: <br /> Septic: Staff Approval Date: �% r/* gy; <br /> Zoning File: # Z37� Resolution: # Resolution Date: b Z Z `�Y, . <br /> Shoreland Dis�ict: _ y�} � <br /> Avg. Setback: �� Bluff Setback: ,�+ i n- Lot Covenge: �i/� <br /> ` � Eustin; Proposed <br /> Hardcover: 0-75' <br /> 75-250' . � <br /> 250-500' . <br /> Sd0-1000' <br /> Hardcover Vaziance Required: Yes �'"� No Date of Council Approval: �� �� -S� <br /> i <br /> RE��S (in house): <br /> , ' � t 26 . <br />