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CHECJK OF`F i�IST FOR ISSUANCE OF �E�'VIITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: I�I��C� �Y�c=.��-� P�.,"n ��CW�� <br /> PID: • �.� <br /> 7 � � <br /> T�ESCRIP'I�SO�i OF Wn�(�R,K: � � � � -' <br /> c.� ' ` <br /> S�� r►�t��l—Cc�v "_'.�-L _ ' - ------------- <br /> ZOYI�G REVIE�FV BY: � ! AATE APPROVED: � � <br /> �UILDING REVIE'4V BY: <br /> DATE AI'PROVED: pQ (7 � O to <br /> FEES TO BE CHA,RGED:` Misc. Fees Calculated By: <br /> p��T Yes � No <br /> PLAN REVIEW Yes ,/ No SE�VER CO�INEC�ION <br /> STATE SURCHARGE Yes 1/ No �VATERCONNECTION <br /> INVESTIGATION FEE Yes No —� PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZON'1.�IG CHE.CK LIST Zoaing Distric�: . <br /> Fire Deparcment: Post Office: School District: <br /> I,ot Area: Sq.ft. Acres Widch Depth <br /> 5urvey Submicted: Yes No ,/ Date of Survey: O� G`1(]� l�l� �„ <br /> Proposed Setbacks: �' <br /> Froat(Lake); Right Side: _ <br /> Rear(Street): Left Side: <br /> �,��3�P�t .Cr�.1Ch1re5; tiVPr��d: <br /> auildin� Height: Def, Hgt. Peal:Hgc. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Scaff Approval Dace: �Y� <br /> Zoaing File: ��OS Resolutioa: „_�2�r v a Resolution Da[e: <br /> v,�vi a,n c.� 4c✓ ��.-d c o.r�✓ �.►r :�r, c.v�. �C(;'w-v� c%vu�.r Sdz.�- c� �S <br /> Shoreland Dist:ict: ��Coverzge: <br /> Av�. Setback: Eluff Setback: <br /> E�isti.n� Proposed <br /> 0 <br /> Hardcover: G-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 5C0-10C4' <br /> � D�C� Oi COILC�l ApprOVZ: 6'Zb'l�So <br /> Hzrdco��er Va-iz�ce Requiizd: Ye� �(_ ��o <br /> R.E�L=�R�S (in house): <br />