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CHECK OFF LIST FOR ISSUANCE OF PERtiIITS <br /> FOR OFFICE USE ONI,Y • <br /> ADDRESS OR LEGAL: 313 5 C�sc� C��cu= <br /> PID: <br /> DESCRIPTION OF WORK: � L� �- /v�� wi N�oW S <br /> ZO�'I�'G RE'VIE`V BY: ------ DATE APPRO«D: Z• Z�-o 0 <br /> BLZLD�IG REVIE�V BY: DATE APPROVID; 2•Zre -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes c� No <br /> pL,AN REV�� Yes ✓' No SEWII�CO�?ECITON <br /> STATE SURCHARGE Yes v No tiVATF�tCONNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No _�G SITEI�i TSPBCTION <br /> Number of SAC�Units OTHER (specify) <br /> Z0�1�G CH�CK LIST zoning Districc: C.,�-I L �. <br /> Fire Department: (Yi,��n�� Post Office: W�,�tA�� School Ds�ict: e���-3�/`�� <br /> Lot Area: Sq.ft. 2 I t`1 Z�$ Acres .�1�' " Width I��v�� DeP� — <br /> Survey Submitted: Yes_� No Date of Survey: �� �- �� <br /> Proposed Setbacks: . <br /> Front(La.ke): �`����' Ri�ht Side: I b � � � <br /> Rear (Stree[): INO� }' I.eft Side: I v' t <br /> Adjacent Structures: (J'rT►���'�-� �Vetland: N (A <br /> Buildin� HeiQhc: Def. H�t. �/� Peal:H?t. <br /> Lot Covera�e: 0 • � ' <br /> Gradin�: Staff Approval Date: — By: Council Appro�-z1 Date: <br /> Septic: S'�ff Approval Date: -- By: <br /> Zonin�File: � — Resolution: � Resolution Date: <br /> Shoreland DQstrict: 'P � 5�Bluff Setback: �(� Lot Co�9ra�e: /v�/�- <br /> Av�. Setback: c�•}� <br /> Ezist'ing PrOgoSed <br /> Hardcover: 0-7�' <br /> _. 75-2�0' �`f 70 �� ° <br /> - 2�0-500' <br /> SQO-1000' <br /> Hardcover Variance Required: Yes No L Date of Counci? Approval: _ <br /> REl�L4R�iS (in house): <br /> 7 <br />