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CHEC� OFF i,IST FOR ISSUANCE O�k' PE�'VIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: �Co� �� E'.�-/'t)c�ti� !2C`.A� <br /> PID: <br /> DESCR�'ION OF WORK: C,owc�iz L��v c��- F�NtSH <br /> ZO�tG REVIE`V BY: `---N I A^^ DATE APPROVED: <br /> SUII�DING REVIE�V EY: DATE APPROVED: 6•Z Z�06 <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes �/ No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes ✓ No tiVATERCONNECTTON <br /> INVESTIGATION FEE Yes No _�/ PARK FEE <br /> SAC Yes No ,/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOi�PIi�l'G CH�CK LIST zoning Discricr. N� e . <br /> Fire Departmenc: Pos[Office: School District: <br /> I,ot Area: Sq.ft. Acres 'dch Depth <br /> Survey Submicted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Froat(Lake}; Ri�t Side: <br /> Rear(Street): Left Side: <br /> Au;��P�r gr�,�n,res; Wetland: <br /> �� <br /> Buildin� Hei�t: Def. Hgt. Peak H . <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: � <br /> Septic: Staff Approval Date: �_ BY� ��,� <br /> Zonin; File: !# Resolution: � solution Date: <br /> Shoreland District: <br /> Av�. Se[back: B1uff Setback: LotCoverage: <br /> EtistinQ Proposed <br /> 0 <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1040' <br /> Hardcover Variance Required: Yes No Da�e of Council Approvzl: <br /> RE�L�S (in house): <br />