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� <br /> . �CHEC� OFF i.,IST FOR ISSUANCE OF PE�'VIITS <br /> FOR OFFICE USE ONLY <br /> �ppRESS ORLE�GAL: lS 3S �30µ-Ns o�N � <br /> PID: <br /> T3ES CRIP'I'IO�T OF WORK: � s e r+�.� n� � � n►�s�+ <br /> ZOYt�i 1G REVIEtiV BY: ------�-_____.___ �A'�E APPFOVED: — <br /> BUII�DING REY�tiV BY: DATE APPROVED: H -�-0`1 <br /> FEES TO BE CHA�GED:� Misc, Fezs Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEtit1 � Yes i/ No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes r/ No tiVATERCONNECTTON <br /> �INVESTIGATION FEE Yes _� No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (sgecify) <br /> ---------------------- <br /> ZONi�iG CHE.CK. LIST Zoning Districc: /U � C f-t�_6� , <br /> Fire Department: Post Office: School District: � <br /> L,ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: - <br /> Front (Lake): R.ight Side: <br /> Fcear (Streztj: Left Side: <br /> Adjacent Structures: �Vetland: <br /> Buil�lin� Hei�t: Def. Hgt, Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Scaff Approval Date: By: Council Approval Da[e: <br /> Sepcic: Staff Approval Date: By: �..Cl.� <br /> Zoain� File: # Resolutioa: n Resolucion Date: <br /> Shoreland District: Lot Coverzge: <br /> Av�. Setback: Bluff Secba k: <br /> Eciscing Propased <br /> Hardcover, 0-75' <br /> 7�-tib' <br /> 2�0-560' <br /> 500-1 GY;O' <br /> ,- t� � D nui-��• V �iQ �i3'._ OF CC�.11CL ���=�Y�; <br /> Li2:C��0'�ZC a 2.:1cuC.. i.�.l�.i� . ZS <br /> F.E�L�.R�iS (in h o u.s e): (�Q►Z 1< ��V� �. (�.; � T� O�S � PC� R.N^�1 — <br />