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. <br /> �HEC�K OFF i.IST FOR ISSUANCE OF �'ER.i1�1ITS <br /> OR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �{ � �y ��6�,!v►��rv� S�I'Yt.e�I' <br /> PID: ����-�r !03 6 3 <br /> DESCRIPTIO�t OF WORK: Y�IWc�- clec►� �c � �a-✓c"a�r — <br /> --- -----------�----------- - <br /> ZO,�i G REVIE�V BY: DAT'E APPROVED: � � � <br /> BUILDING REVIEtiV BY: DATE APPROVED: 6 '7 � co <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes �( No SE`�TER CO�iNECTION <br /> STATE SURCHARGE Yes � No tiVA'I'ERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -----------------------------------�\----/----��-�- <br /> ZONTivG CH�CK LIST Zoning District: _ �, <br /> Fire Department: Post Office: School District: ` <br /> I,ot Area: Sq.ft. o c c�va+� Acres Width Depth <br /> Survey Submitted: Yes I�fo >C Date of Survey: /1�I G� <br /> . �s h:,�l� i ��,� <br /> Proposed Setbacks: � ��s� , �,� . <br /> ��,aet(Lake); �(S �Side: E�� �-- <br /> Rear(Street): Left Side: <br /> P.dj2CeIIr Srni�tUICS; �Vetland: /'��� <br /> Builcling Hei�t: Def. Hgt. NI'� _ Peal:Hgt. <br /> Lot Covera�e: �b C c�✓�-^��,,r <br /> Grading: Staff Approval Date: �✓//� By: — Council Approval Date: — � <br /> Septic: Staff Approval Date: �� � �Y� `�" �� <br /> Zoain� File: � — Resolutioa: � — Resolution Da[e: <br /> Shoreland Dis[ric[: ��S <br /> Avg. Setback: di�� Bluff Setback: N I /� I.otCovera�e: <br /> Ecistin� Proposed <br /> 0 <br /> Hardcover: G-7�' —" �c,l� o�- <br /> �s-2so� . 3 � `� � ` 'J.�—� o <br /> a <br /> Z�o-5ao� " �( i 7 I �2i r� �,� ��,ti�,e <br /> 500-1000' <br /> Hardco�er Variance Required: Yes No �_ Dace of Council Approvzl: <br /> F.E�L4RKS (in house): O ���C �C 2 �I � 3 5 <br /> [�� -- <br />