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CHEC�i OFF LIST FOR ISSUA��'CE OF PERi.l�1ITS <br /> _ FOR OFFICE USE ONI.Y � .. <br /> ADDRESS OR LEGAL: � 3�i (o (3(�(�fJ�`12 �P�21c 2e r4�D <br /> PID: <br /> DES CRIPZ'ION OF�ORK: �Q r� , � o,-v �� � c�s-x�,— �.4�6 c.s _ <br /> ZOr'L�'G REVIEti� BY: D�TE APPROV�D: (l-3C�-Ud <br /> BUII.,D�'G REVIE�BY: DATE APPROV�D: !�- 30 =v� <br /> FEES TO BE CH.4RGED: Niisc. Fees Calculated By: <br /> pERMIT Yes �' No :� <br /> pI,AN REVIEW Yes v� No SERrER COiv�1ECTION <br /> STATE SURCHARGE Yes � No WATERCON�tECTION <br /> II�,'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEG"TION <br /> Number of SAC�Units OTHER (specify) <br /> ZOti�G C�CK LIST Zonin�Dis�icc: /�U G���C/ � _ <br /> �J <br /> Fire Department: Post Office: School District: � � <br /> L,at Area: Sq.fr. Acres Width Depth <br /> Surve;� Sub�itted: Yes No Date of Survey: <br /> Propvsed Setbacks: <br /> Froa[ (L�ke): Ri�h[Side: � <br /> Rear (S[reet): Left Side: <br /> Adjaceat S�ructures: �Ve and: � <br /> Buildin� Hei�ht: Def. H?t. Pe Hgt. <br /> Lot Coverage: <br /> Gradin�: Scafi Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: � Resolution: n Resolution Dace: <br /> Shoreland District: <br /> Av�. Setback: Blufi Secback L.otCo��era�e: <br /> E���� Proposed <br /> Hardcover: 0-75 <br /> 75-250' <br /> ti0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Aoproval: <br /> gE1�iARK� (in house): <br /> 7 <br />