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CHE�K OFF i�IST FOR ISSUANCE O� PER.t�IITS <br /> FOR OFFICE USE ONLY� <br /> n , _ <br /> A.DDRESS ORLEGAL: � .' .. ,' t 1 , � 1 �.. i �. �.� �-,._�..-.�.� <br /> PID: <br /> DESCRLP'I'IO�I OF��V'ORK: i ; <�� � �r ��/ i < �, ; �.� ,�tl'. -�� �' ,� ' <br /> � ----=--------------------------------------- <br /> ^__�_._.r�_.�� ��_�._�����__�-...����.�r 1���..����_�_��� <br /> ZO�G REVIE`V BY: G �� �- C. C � ( �C L�- � DATE APPROVED: <br /> SULLDING REVIEtiV BY: . DATE APPROVED: �-�o -o$ <br /> FEES TO BE CHARGED:^ Misc. Fees Calculated Sy: <br /> PERMIT Yes � No <br /> PLAN REVIE`V Yes �/No SE��TER CONNECTION <br /> STATE SURCHARGE Yes �/ Na `VA'�CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Uruts OTHER (speeify) <br /> --------------------------------------------�----,�----------------- <br /> ----------------------------------- <br /> , <br /> ZON'L�iG CI�.CK LIST Zoning Districr. " ' fy_ �. <br /> Fire Department: Post Office: School District: � <br /> �y / � <br /> Lot Area: Sq.ft. Acres _ �� � � Width �6 ,� - Depth <br /> ` ' Date oE' Surve ,` ��'` � �� � <br /> Survey Submitted: Yes L_ No y� <br /> Proposed Setbacks`. �`�. ' <br /> . ,r r ' <br /> Froac(Lake): ` `�i r,� l`-zi1 R�t Side: ' ` � , <br /> Rear (Screet}: T�f�Side: _ <br /> ���\ / f_ <br /> Adjacenc Structures: �Vetland: X-' �"� <br /> � '�,�, � <br /> Buil�lin�Hei�t: Def. Hgt, Feak Hgt. <br /> Lot Covera�e: ,� " � <br /> Grading: 5caff Approval Date: By: Council Apgroval Date: �'' ' <br /> r�/� ���� ��� ��,d�-�`��-�"�-�' <br /> Szptic: Staff Approval Date: �Y: <br /> ��/' Resolution Date; I "I �� <br /> Zoa:n� File: n '/�� Resolutioa: n <br /> Shoreland District: �� = <br /> Av;. Setback: h <br /> Bluff Secback: L.o[Coverzge: <br /> • F�isti.no Preposed <br /> Hardcover; 0-75' <br /> 75-250' . <br /> Z�0-SGO' <br /> 50C-lOCO' <br /> Eiz..��co��e- `•'�:�ce P.equired� Yes �e� Da�:e oE Cc��cil App'ovz: <br /> F.E�I=�.Fu�S (L��!Ou,°�• <br />