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CHECK OF'F LIST FOR xSSUANCE OF PERiI�IZTS <br /> � FOR OFFICE USE ONLY <br /> • ADDRESS OR LEGAL: _ � 4 S 5w��-n-� Av�. ' � <br /> PID: � <br /> - DESCRIPTTON OF WORK: _ Br�!-TMt (Loo�s (?�'w��e c.s � <br /> ZO� .7'Yi G REVIEti�BY: . DATE APPROVED: 2-Z V -qq �- <br /> BUII..D .7�i'G REVIEti'Y BY: . - . DAT'E APP�tOVED: 2�Z 5-c� <br /> �'EES TO BE CHARGED: • � � Misc. Fees Calculated By: ` �� <br /> PERMIT . .. -Yes ✓' No . <br /> PLAN REV�W � Yes v� No SEW�CO�tNECTION <br /> STATE SUR�H�kCr�c Yes � No WATER CONNECI'ION <br /> INYESTIGA'I'ION-FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC Units ���OT'HER (specify) � <br /> ---- ---------------- _� <br /> ZONING CFiECK LIST � zoning Districr. _('(�U G/�/UG� .- <br /> Fire Deparnnent: Post Office: � School District: � ' � <br /> Lot Area: Sq.ft. � � Acres Width . Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposcd Setbacks: . <br /> _ ___ - � ---_. <br /> : Front (La.ke):.-__ _--:___ - Right Side -`__ _ _ . -- <br /> Reaz(Street): � Left Side: <br /> . Adjacent Structures: tiV tland: <br /> Buitding Height: Def. Hot. Pe k HQt. <br /> a <br /> Lot Coverage: <br /> Gradin�: Staff Approval Date: �� y: Council Approval Date: <br /> , Septic: Staff Approval Date: � y; • � . � <br /> Zoning File: � ' � Resolution:# Resolution Date:� • <br /> Shoreland D'u�-ict: � � <br /> Avg. Setback: Bluff Setbac : Lot Coveraae: � . <br /> • Existin� Proposed � <br /> Hazdcaver: 0 75' <br /> 75 250' . . • ' <br /> 250-500' . • • <br /> 500-1000' <br /> Hardcover Varianc�Required: Yes No Date of Council Approval: <br /> . � <br /> REI�ZA.RKS ('in house): � <br /> 4 • <br /> � _ � • • <br /> , .,; � .. 6 <br />