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i <br /> w ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICF, USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF W ORK: A d <br /> --------------------------- <br /> -------------- <br /> _--------------- D: 2 I USO <br /> ZONG REVIEW BY: _---�_ DATE APPROVE <br /> BUILDING REVIEW BY: <br /> DATE.APPROVED: �2 t o� <br /> -- <br /> ----------------------------------------------------------- <br /> FEES TO BE CI-IARGED:r � Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No STTELNSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ---------------------------------- <br /> z0INU IG CHECK LIST Zoning District: <br /> Fire Department: <br /> Post Office: School District: <br /> Lot Area: Sq& Acres Width �� Depth <br /> Survey Submitted: Yes <br /> No Date of Survey: y q 6v% LrnnIVIct <br /> Proposed Setbacks: V"b cQ� Right Side: <br /> Front(Lake): <br /> Rear(Street): Left Side: <br /> rent trtt t Wetland: <br /> Adja....... S.._C.1Ie�: <br /> Building Height: Def, Hgt. Peak Hat. <br /> Lot Coverage: he' coq Q' <br /> BCouncil Approval Date: <br /> Grading: Staff Approval Date: y' <br /> septic: Staff Approval Date: Iyf By: <br /> Zoning File: _(� Resolution: n _ Resolution Date: 1( 7 .�Q <br /> Shoreland District: Lot Coveracz <br /> Avor. Setback: Elul`Setback: <br /> epapseo+0, l�cw2�¢P <br /> Etist7 33A SCJ <br /> Harecovec; 0-75' � ^ r- / � - <br /> 75-250' �U 4� L& <br /> 250-500' —' <br /> C zhisl n -% 500-100.0' — <br /> Aue4AIe 4►rask�, a - . , - l 7 0 <br /> N?ecover <br /> F.EIL 5 (inhouse): <br />