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' CHECK OFF LIS�` FOR ISSUANCE OF PER1ti�ITTS <br /> FOR OFFICE USE ONLY <br /> :�DDRESS ORLEG:�L: �2`� 9�3��- g`� PID: <br /> DESCRIPTIO\ OF Si'OR�: ClEPwc� w�N�o�+-g <br /> ZO\�i G RE`��V BY: N /d DATE APPROVED: <br /> BUII..DL\'G REVIEtiV BY: DATE �,PPROVED: ��-21-r r <br /> FEES TO BE CH.�RGED• Niisc. Fees Calculated By: <br /> PERtiIIT . YzS '� �o <br /> PLA�1 REtiZEZV Yes � No �/ SEWER CONNECTION <br /> STATE SURCH�RGE Yes � No WATER C�NNECTION <br /> �- INVESTIG�TION FEE Yes ✓ No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of S�C Units . OTHER (specify) <br /> ZO���G CHECK LIST Zoning District: Shoreland Disuict : <br /> Fire Depanmenc: Posc O�ce: School District: <br /> LotArea: Sq.ft. Acres Width D pth <br /> Survey Submitted: Yes No Date o Survey: <br /> Proposed Setbacics: <br /> Front �Lake): Right Si : <br /> Rear (Street): Left Sid : <br /> �djacent Strucrure : etland: <br /> Building Heighc: Def. H t. Peak Hgt. <br /> Avg. Setback: Bl ff Setback• Lot Coverage: <br /> Exi ting Pr posed <br /> Hazdcover: 0-75' <br /> 75-ZS ' <br /> 350-� 0' <br /> �00-1 00 <br /> Hardcover Variance R d: Yes o ate of ouncil Approval: <br /> Grading: Scaif Approv Date: By: Council 3pproval Date: <br /> Sepcic: Staff?�pproval Date: BY� <br /> Zoning File• n Resolurion: � Resolution Daze: <br /> RE'�i IARKS (in house): <br /> -� t,�odC�. 0 0�2r. w�Q-b9 m,r�' ��e/L.�.�,.vr' — <br /> 26 <br />