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CHEC� OFF i,IST FOR ISSUANCE O� PE�'VIITS <br /> FOR OFFICE USE ONLY <br /> . ADARESS ORLEGAL: �Z�r> �,�,� ��n`1G� V� �'�/`�I <br /> , PID: <br /> DESCRIP'IZON OF WORK: ` ' L` � <br /> - -- <br /> -------------------------- <br /> --- ------------------------------------ - <br /> ZOYli�IG REV7EtiV BY: rI/1�I ,G � l�C DATE APPROVED: i ?� 07 <br /> BU]ZDING R.EVIE�V BY: DATE APPROVED; I • 3�- 0 7 <br /> FEES TO BE CHARGED: Misc, Fees Calculated By: <br /> pERMIT Yes No <br /> PLAN REVIEtiV � Yes / No SE`VER CONNECTION <br /> STATE SURCHARGE Yes r/ No tiVA�I`ERCONNECTION <br /> INVESTIGATION FEE Yes No —���K FEE <br /> SAC Yes No S�I'EINSPECTION <br /> Number of SAC�Units , �*� 6•�_�g OTHER (specify) <br /> ------------------ -- <br /> --------------------------------------- <br /> -�------------------------------------ <br /> ZON'Li�tG CHE.CK LIST zaning Discricr. L � � , <br /> Fire Departrnent: Post Office: School Discrict: � <br /> � �H7.vL- <br /> L,ot Area: Sq.ft. <br /> � �� I� S �`Acres O� N��� Widch ���/� ���' � Depch <br /> � � �c�� U� <br /> Survey Submitted: Yes �,I No Date of Survey: <br /> Proposed Setbacks': � � ' ; <br /> Front(Lake): � � ��t Side: �2' <br /> / C °— r <br /> � �� �vc,� � � � � <br /> R�ar (Street}: � Left Side: <br /> �!l' � .,- <br /> Adjaceac Structures: �lJ w �� C; �Vetland: <br /> � /y�� � �i <br /> Buil�lin� Hei�ht: Def, Hgt, �" � Peak Hgt. � <br /> Lot Coveraoe: � � "� D'0 <br /> Grading: Scaff Approval Date; ��� P�� ►� �' By: Council Approval Date: ' <br /> Se tie: Staff Approval Da[e: i " �Y� �' v <br /> ! <br /> 2Z`'� �S�� Resolution Date: %''%f,'�l ,;'f�/�., <br /> Zoain� File: r�� � Resolutioa: n <br /> Shoreland District: C l �, � I LI G1 � U (� �C� <br /> Avg. Setback: Bluff Setback: �� L.ot Coverage: <br /> Eusting Propose��j � . <br /> 'l, o "Z. ?�L-;�; <br /> Hardcover: 0-75' ,, ��,,� <br /> 7�-250' �'� � ,> f I� <br /> 2�0-50a' <br /> SOQ-1QC0' <br /> , <br /> ,- � D � ,�-o�. ye � �;c Da;e c`Ceuacil AP�=�va_�: ��ICI ��O <br /> ndiC�CO'�2C �2.:ta,,C� ..e,�l..�,. 5 <br /> F.EtiL�.RhS (in house): <br />