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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> � FOR OFFICE USE ONLY <br /> ADDRFSS ORLEGAL: _ '3 f,pc� ���Lcti-e . - . <br /> PID: <br /> DES CRIPTION OF WORK: /w��1-e�.. ��F) �-}.C. �4 r�t tt,oa,r � <br /> ZONIiYG REVIEtiV BY: W . DATE APPROVED: �-�v- �'� �- <br /> BUII,Di�i iG REV��'Y BY• � . DATE APP�tOVED: q—r�-.�g <br /> �EES TO BE CHARGED: • � Misc. Fees Calculated By: ~~ � <br /> PERNIIT Yes c/' No . <br /> pL� ��� Yes v� No SEWER CO�INECTION <br /> STATE SUR`HAI�G�, Yes v No �IATER COYNECTTON <br /> INVESTIGAT'ION-�EE Yes No PAItK FEE <br /> SAC Yes No SITETNSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -- ---------------- ---- ---- <br /> ZONING CHECK LIST zoning District: - �llv G c.1�rc,� _� <br /> �I- <br /> Fire Deparmienr. Post O�ce: School District: � <br /> I,ot Area: Sq.ft. Acres ZVidch Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): . Right ide: . <br /> Rear(Street): Left de: <br /> Adjacent Structures: SVetland: <br /> Bullding Heioht: Def. Hgt• Peak Hot. <br /> a <br /> Lot Coverage• <br /> Gradin�: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; • � . <br /> Zoning File: # - Resolution:# Resolution Date:� • <br /> Shoreland Dis�ict: � � <br /> Avg. Setback: B(uf Setback: L,ot Coveraae: � <br /> � ' E� �� Proposed � <br /> Hazdcover: 0-?5' <br /> 75-250' . . - - <br /> 250-500' . • <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> . � <br /> REI�ZARKS ('in house): � Stv�'I,cc�ti b�51�rv ��-o P �.��,.�ec9 v s..e �r�.� <br /> � � f� -1 ?�nsuvG �isrR:r � ^ <br /> z - _ . - . <br /> : ��� � 26 <br /> . ��-. . . <br />