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1/ .., <br /> , C�iEC� OFF i.,IS'Z' FOR TSSUANCE OF �E�'VIITS _�:. .., _., �',.�) - �"�;!P-��i;�' <br /> FOR OFFICE USE ONLY ' <br /> AD RESS OR LEGAL: �j C�'��r��� ; _. . � <br /> P <br /> ]DE CRIPrIrlON OF WORK: /IGw �� <br /> --------------------- <br /> ----------------------------- <br /> -- --- ------------- � AA'TE APPROVED: " U� <br /> ZO G REVLE`V BY: ,o,� . <br /> $ DIt�IG REVTEtiV BY: DATE APPROVED: 3 <br /> ----_--------- ------ ---------------------------=--------------------�--------- <br /> � S TO BE CHAk�GED: Misc. Fees Calculated By: <br /> p T Yes No <br /> P AN REVIE`V Yes No SEtiVER CONNECTION <br /> S ATE SURCHARGE Yes �/ No �VAT'ERCONNECTION <br /> I STIGATION FEE Yes No ✓� PARK FEE <br /> S C Yes No --� STI'EINSPECTION <br /> umber of SAC�Units OTHER (sgecify) <br /> ------------------------------------------------------ <br /> Z NIi�1'G CHE.CK. LIST Zoni.ng Districr. �� '� �. <br /> F e Departmenc: Post.Office: School District: � <br /> t Area: Sq.ft. Acres Widch Depth <br /> rvey Submitted: Yes No Date of Survey: <br /> roposed 5etbacks': ��' ' <br /> Front F�e): ri/� R�sCSide: d <br /> Rear (�eat}: ' V "Left Side: �� <br /> / <br /> Adjacent Structures; � � bVetland: <br /> auilclin� Hei�hr. Def. Hgt. Pealt Hgt. <br /> Lot Coverage: �'1/� <br /> Gradino: Staff Approval Date: By: Council Approval Date: ' <br /> Septic: Staff Approval Da[e: �- J�-fl� �Y��� <br /> Zoain� File: n Resolution: n Resolution Date: <br /> Shoreland District: /��/ <br /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> E�istino Propased <br /> Ha.rdcover: 0-75' <br /> 7�-250' <br /> 2�0-56a' <br /> �00-1000' <br /> ndi�co'�2i �y'3"ic�:c� .n.�.^iL'ii��: v�s �!0 Dd�� o` Cc'�.LIl='� ���rOva�: <br /> F.EtiL�R�.S (in hou5e): Ov �. � � r�' <br /> � � � , r � r„� <br /> Cv,�-5 .e,�- a� s r �•�-J�h S a o 7 <br />