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�HEC�K OFF i�IST FOR ISSU.ANCE OF �E�'VIITS <br /> r FOR OFFICE USE ONLY� . . <br /> AUDRESS OR LEGAL: i�l� I SHc�2�.(.�Nt:., (�2 <br /> PID: <br /> DESCRIPI�IO�I OF WORK: C26oth T'+ 2� �.t-�S o,•� — � <br /> ZOYNG REVIEtiV BY: r--- --- ----------------------DATE APPROVED: 9-��l-B� <br /> SUTLDIlV'G REV]EtiY BY: DATE APPROVED; �c -[ V-c�,�� . <br /> FEES TO BE CHARGED:� Misc. Fezs Calculated By: <br /> pgg�T Yes �/ No <br /> PLAN REVIEti�I � � Yes ✓ No SEtiVER CO�TNECTION <br /> STATE SURCHARGE Yes �/ No �VATERCONNECT'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SI'TEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZONi11IG CHE.CS. LIST Zaning District: �O . <br /> Fire Departmenc: Post Office: School District: • � <br /> Lot Area: Sq.ft. Acres � Width Dep[h <br /> Survey Submitted: Yes No Date oE Survey: <br /> Proposed Setbacks: � • : <br /> Froat(Lake): Ri�c S' e: . <br /> Rear(Street): Left ide: 3d� <br /> Adjacent Structures: Wettand: <br /> Buil�lin�Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: ' <br /> Septic: Sta#'f Approval Dace: �Y� <br /> Zoaing File: � Resolutioo: # Resolution Date: <br /> Shoreland District: <br /> Av;. Setback: Bluff Setba k: I.ot Covera;e: <br /> E�.isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-SOQ' <br /> 500-10G0' <br /> I�a:dcover Va�iance Required: Yes No Da!e ef Co��il App��v�: <br /> FE��L�S (in house): <br />