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� <br /> �HECK OFF LIST FOR ISSUANCE OF �'ERNZITS � ��,�,�.:�'v_ <br /> FOR OFFICE USE ONLY -7 � Z � <br /> ADDRESS OR LEGAL: �d-� l X �r-Le <br /> PID: <br /> T�ESCRIPI'�ON OF WORK: (V�W iZ1-� -- <br /> --- ---------___--_--------------------- <br /> ZOY.NG REVIE�V BY: �; + PG DATE APPROVED: �- z5 �O� <br /> SUTLDII�IG R.EVLE�V BY: DAT'E A.PPROVED: $ • ZS •0��0 <br /> FEES TO BE CHA,RGED: / Misc. Fees Calculated By: <br /> pEg�T Yes ✓ No <br /> PLAN REVIEtiV Yes � No SE�VER COYNECTION <br /> STATE SURCHARGE Yes _� No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No `� PARK FEE <br /> SAC Yes � No STTEINSPECTION <br /> Number of SAC Units 1. OTHER (specify) <br /> ZON'L�i IG CHE.CK. LIST Zoaing District: . <br /> Fire Department: Post Office: School District: <br /> Loc Area: Sq.ft. Acres Width Depth <br /> Survey Submicted: Yes �_ No Date of Survey: Fj-Z3-� V <br /> Proposed Setbacks: � <br /> Froat(Lake); S Rioht Side: O <br /> Rear(Street): 1 � Left Side: j <br /> �,��3�P�t Crni�ttsrZ.S; /�Ti�Cf�l:'� WPrland: /U��' <br /> Buildin' Height: Def. Hgt, �, }� Pea.i:Hgt. ""' <br /> Lot Covera�e: /" /✓� <br /> Grading: Staff Apgroval Date: �l /a- By: Council Approval Date: <br /> Szptic: Staff Approval Dace: / v � �Y�l�L� <br /> Zoaing File: � � Resolutioa: R Resolution Date: <br /> Shoreland Dist:icc: N � <br /> Avg. Setback: B!uff Setback: L.otCoverzge: <br /> EustinQ P;oposed <br /> a <br /> Hardcover: G-7�' <br /> 7�-250' <br /> 2�0-500' <br /> SCO-1C�C4' <br /> �-ja�CCCO`'eL `''2i�:2�,C2 RZGL'!iz�: Y�2� �i0 D3C.. Oi CO'u=:C'.� -�t,,�'.. =': <br /> RE`L=�RI�S (in hou�e): <br />