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CHECiK OFF i..IST FOR ISSUANCE O�' �'ERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEtrAL: 3 i � 5 %J Jel n�C�,g u,JS <br /> PLD: <br /> DESCRIP'I'IO� OF WORK: �� <br /> --- --------___-�__------------------------ <br /> -------------------------------------- <br /> ZOY.T�G REVLE`V BY: ��'�� DATE APPPOVED: � (.�� <br /> BUILDIlV'G REVIE`V BY: � . DAT'E APPROVED: , �-�, o e� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pEg�T Yes ,/ No <br /> PLAN REVIEtiV � Yes �/ No SE��ER COyNECTION <br /> STATE SURCHARGE Yes ✓ No `VATERC�NNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No —� STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> -- ---------------------------- <br /> ---------------------------------------- <br /> ZOiY1NG CT�iE.CK LIST Zon.ing District: � � . <br /> Fire Department: Posc Office: School District: � <br /> �� Q}U '-f- <br /> L,ot Area: Sq.ft. Acres � + b Widch Depth <br /> Survey Submitted: Yes x No k Date of Survey: E � �'% !� s F` (� ? � � <br /> ,-, ' <br /> Proposed ��'�`• _ , �� i.-� ;� � <br /> roat�(Lake); ��� ,. � ��[Side: �_.J�- +� , <br /> ..� � ,� <br /> � � <br /> Rear(Street): -'S,'� � Left Side: -' <br /> A�'acenr Sr^,cbires: ��—;-x��-rL� Wetland: !J fr4 <br /> ..; <br /> Building Hei�i[: Def. Hgt. o• �� Pea1:Hgt. <br /> Lot Coveraje: N (� �� 2 "`-+�'�r <br /> Grading: Staff Approval Date: /�( (y� By: Council Approval Date: ' <br /> Septic: Scaff Approval Date: IU I� �Y� <br /> Zoaing File: �� Resolutioa: n Resolution Da[e: <br /> Shoreland Dist:ic�: ��� ��Covera�e: <br /> Av�. Setback: Bluff Setback: <br /> Eusting Proposed <br /> Hardcover: G-7�' <br /> 7�-2�0' <br /> 2�0-500' <br /> 5C0-10G0' <br /> H��dcover V�-i22ce Requirzd: `�e� tio � Da�e o�Councu =.ppio�.�: <br /> , <br /> ' ��o .�-t <br /> RE�L�S (in house): 5�1 �}�'( � /1�T,�t, ��-t� s� — <br /> �� +��fC ���l�s'. - <br />