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CHECK OF'� LIST FOR ISSUANCE OF PERII�IITS <br /> � + FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 t'15 S H 1'c V�.1 N �R• <br /> PID: <br /> DESCRIPTION O�WORK: CCIL <br /> ZOi�tIl\'G REVIEW BY: DATE APPROVED: � •� 3 �0 a <br /> BUII..DING REVIE`V BY: DATE APPROVED; �- c 3-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �' No <br /> PLAN REVIEW Yes � No SEWER CONNECIZON <br /> STATE SURCHARGE Yes ✓ No WAT�RCONNECTION <br /> INVESTIGATION FEE Yes No Pt1RK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> � --------------- <br /> ZOtYL�i G CHE.CK LIST Zoniag Districc: 2 R-1(� . <br /> Fire Department: (�ows6lAtc,� Post Office: (s�ncG�l��. School District: O►'t..ons a <br /> Lot Area: Sq.ft./1►o c�-f�9r►�� Acres Width ,��22c:�''�vt.�t. Depth <br /> Survey Submitted: Yes � No Date of Survey:Co N t-�� �'��'�7 <br /> Proposed Setbacks: , � <br /> Front(Lake): C�"] � Right Side: 38 N <br /> Reaz(Sireet): I f S� C . Left Side: 't `�'" <br /> Adjacent Structures: /Q;ry{C,�,� Wedand: /l///� . <br /> Building Height: Def. Hgt. N/� Peal:Hgt. — <br /> Lot Coverage: ��<< <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Sepdc: Staff Approval Date: � By: . <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: Nv <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required�: Yes No Date of Council Approval: <br /> RENIARKS(in house): <br /> � <br /> 7 <br />