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� CHEC� OFF LIST FOR ISSUA��'CE OF PERtiIITS <br /> : FOR OFFICE USE ONL,Y � . <br /> ADDRESS OR LEGAL: y� � �r�, �s c..g.v►'� <br /> PID: <br /> DESCRIPTION OF�ORK: 5��,�� <br /> . <br /> ZOti�'G REVIE��% BY: ,,,_ _ DATE APPROVED: / z -i �c�o <br /> BUILDI�'G REY�� BY: DATE APPROYID: c z� � =c� <br /> FEES TO BE CH.4RGED: biisc. Fees Calculated By: <br /> pEgIVIIT Yes ✓' No :� <br /> pL�,N REVIEW Yes v No SEWEEZ C0�INECTION _ <br /> STATE SURCHARGE Yes v- No WATERCONNECTION <br /> I'�i,'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZO�T-.V G CHJ�CK LIST zoni.ng Dis�icr. 2 S <br /> Fire Department: l,or�� L���.:. Post Office: �U N s� School District: �� � � <br /> Lot Area: Sq.fr. �-t�3���31 Acres I . �Z Widch I i2�'Z-�=�v c�.2 Depth <br /> Surve; Sub.Litted: Yes No Da[e of Survey: <br /> Proposed Setbacks: � 1^2u�. R,,��'r-�c-wA�� � <br /> F.oe[(La.ke): 2 3 Ri;ht Side: �1 S' <br /> Rear (Street): i 0�' �' Left Side: ��-�8 <br /> Adjacent Structures: `-��� � o�r (�°��Vetland: N �a � • <br /> BuLdin� Hei�hr. Def. H�c. �•�� Pea.�Hgt. -' <br /> Lot Covera�e: N �f} <br /> Gradin�: Scaff Approval Date: �l�r4 By: — Council Approval Da[e: - <br /> Septic: Staff Approval Da�e: /J�t� By: - <br /> Zoaing File: � Ze.Z-1 Resolution: � Resolutioa Date: ll-1'�-C�O . <br /> Shoreland District: u�,s <br /> Av�. Setback: p.1c Btufi Se�back: ,.� I/�T L,o[Co�'era�e: <br /> E���? Proposed <br /> Hardcover: 0-7�' <br /> 75-250' �,`� <br /> 2�0-500' <br /> 500-IOQO' <br /> Hardcover Vari�ce Required: Yes No_�� Dat� oF Council Aoproval: <br /> gE�iAR�;.,S (in house): <br /> 7 <br />