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CHECJK OFF i1IST FOR ISSUANCE OF �E�'vIITS <br /> FOR OFFICE USE ONLY <br /> �,.I}DRESS OR LEirAL: �§` �f�-�t S , c+.2 i� � <br /> PID: <br /> I3ESCRIP`TXON OF WORK: �op �n o� ��`�'��Z— <br /> --------------- _—____ --- ------- <br /> ----------------- <br /> ZO�NG REVIE�V BY: DATE APPROVED: g -23.-o c. <br /> BUII�DING REVIEtiV BY: DATE APPROVED: FS -z3 <br /> ------ - — ---------------------------=-----------------------—o---- <br /> �'EES TO BE CHAI2GED: Misc. Fees Calculated By: <br /> pE�T Yes f No <br /> PLAN REVIEtiV � Yes �/ No SE�VER CO�TNECTION <br /> STATE SURCHARGE Yes __� No `VATERCONNECTIO�I' <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Uruts OTHER (specify) <br /> ZpY'L,i IG CT:�E.CK LIST Zoning Districr. . <br /> Fire Department: Post.Office: School District: <br /> T nc Area: Sq.ft. l,LT 3�`��S Acres 2(..2-�- Widch Depch <br /> Survey Submitted: Yes _�C _ No Date of Survey: (,• 5- 'b 2 <br /> Proposed Setbacks: � : <br /> Froat(Lake): Right Side: <br /> Left Side: S�C'Q�u� 6��T�`'� <br /> Rear(Street): �`N , <br /> ��c��c'9 <br /> ���3CP�t Crni�h1r�5; �veflan�j: <br /> Buil�lin� Hei�t: Def, Hgt. (�•k- Peal:Hgc. _ <br /> Ur.�s -�rJ C���n^'� <br /> Lot Covera�e: Iv �n <br /> Gradin Scaff A roval Date: /�J F1 By: — Council Approval Date: _ ' <br /> g: PP L <br /> Septic: Staff Approv�l Dace: �- 1`7 -CU� BY. L�(S <br /> Zoaing File: � — Resolutioa: � _ Resolution Date: <br /> Shoreland Dist:icc: N O <br /> Avg. Setback: B!ufi Setback: L.otCoverage: <br /> Eusting Proposed <br /> Harecover: G-7�' <br /> 7�-250' <br /> 2�0-500' <br /> SOQ-lOC4' <br /> H��Cco�er Va-�:aace Rzquirzd: Ye� `�o <br /> Daie oi Cou�cil Appr�v�: <br /> RE�L=�RI�S (inhouse): <br />