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CHEC� OFF i,IST FOR ISSUAI�tCE ��F PERiI�IITS <br /> � � FOR OFFICE USE ONLY <br /> ADD�tESS OR LEuAL: 313 S G�sc� c. � ,z c-� _ <br /> PID: <br /> JDES CRIP1'ION OF W ORK: ►Z�. ►tiw rJ t�z / �L.��P�A�2 <br /> ZO�G RE�tiV BY: ----^�'(� AATE APPROVED: <br /> SUII�DING REV]EtiY BY: DAT'E APPROVED: 9- � 3•c� ca. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEti�I � Yes r� No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes � No �VA'I'ERCONNECTION <br /> INVESTIGATION FEE Yes No �- PARK FEE <br /> SAC Yes No �- STTEINSPECTION <br /> Number of SAC�Uruts OTHER (sgecify) <br /> ---------------------------------------------------- <br /> ZONi.�IG CT-iE.CK. LTST Zoning Districr. /ll o r (+�rYv� e , <br /> Fire Department: Post Office: School Discrict: � <br /> I,ot Area; Sq.fc. Acres Width Depch � <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: . <br /> Froat{Lake): Ri�t Side: <br /> Rear(�treet}: Laft Side: <br /> Adjacent Strucn!res: �Vetland: <br /> Buil�ling Hei�it: Dei. Hgt, Peak Hg . <br /> Lot Covera�e: <br /> Grading: Scaff F�pproval Date: y: Council Approval Date: ' <br /> Szptic: Staft Approval Date: B, � <br /> Zoaing File: � Resolutioa: � esolution Da:e: <br /> Shoreland District: <br /> Av�. Se[back: Bluff Setback: Lo[Covecage: <br /> E�iscino Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-560' <br /> 500-l OG'�J' <br /> �-i�dcove_ Vzia.nce Required: Yes �'.o D �.� e` �o�!�cil App�ovz: <br /> F.E��L=�RKS (in house): <br />