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. <br /> CHECK OFF LIST FOR ISSUANCE OF PE�ti,fITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: 1�'�� 5�y-�-� Av� N� <br /> PID: <br /> DESCRIPTIO.�OF Y�ORK: s i��N c�, i�o o r��G �A N�w r��^r�' �'"r��--- <br /> ------------------------------------ <br /> ----- ---------- <br /> ZOtYI1VGREVIEti�BY: D.A�'EAPPROVED: ti-�f-o .�' � <br /> B LiILDING RE V.(E W B Y: D.�TE AP.PRO 6'ED: y- �Y-6 S <br /> ------------------------------------- <br /> FEES TO BE CHARGED: IL'Iisc. Fees Calcctlated By: <br /> PERII�IIT Yes � No <br /> PLAN RE I�IE GV Yes r� t�Io SE tiYER CONNECTIO�V <br /> STATE SURCH.4RGE Yes � tVo tiVATER CONNECTIOtV <br /> �VVESTIG.4TIOIV FBE Yes ✓ t�Io PARK FEE <br /> SAC .Yes No SITE NSPECTIO�V <br /> Ncu�l6er of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------- <br /> Z'OtYI1YG CHE CK LIST Zor�ing Disd•ict: <br /> Fire Departrrie�rl: Post Off ce: Sclxoo(District: _.. <br /> Lot.�Iren: 5 �. Aa•es GVidth Depth <br /> 4�f <br /> Siuvey Subrni[ted: Yes_� Na Date of Suiveti�: �r (=��-�% �"�3"S� <br /> Proposed Setbacks: � <br /> Frorit(Lake): Zly �- Right Side: I 15 � <br /> Rear(Sh�eet): I�S� '-� Left 5ide: �3Z- � <br /> Adjacent Str•c�ct�u•es: fFrr+'�u+e�9 GUetlnnd: /Jl�' <br /> Buildi�rg H�ight: Def. Ngt. CJ•�'C Peak Kgt. — <br /> Lot Coverage: � — <br /> Grading: Staff.4ppraval Date: — By: Cozencil Approval Date: <br /> Septic: Stnff.�lpprova(Date: —' BY� <br /> Zoning File: # -- Resolutia�t: # Resol«tiai Dnte: <br /> Shoreland Disd•ict: N d <br /> Avg. Setbnck: Blceff Setback: Lat Coverage: <br /> Existin,; Pr•oposed <br /> Hc��•dcove�•: 0-75' <br /> 75-2.i0' <br /> 250-500' � <br /> 500-1000' ' <br /> ffarcfcover Vm•iafice Rec�uirecf: Yes No Date of CoEuaci!Approval: <br /> REIlTA.RKS(iit house):�- ��R-'1� 5—, ►41��� � o �-�w�.A i <br /> 31 <br /> _ <br /> � � ..: � � , � �, �; �� <br /> . .. : 7 . �� <br /> , �W .: <br /> : <br /> . . .. � .. ��: �.. ': .. � '.',.. . . , . Y, .'i. . .� ..,. <br />