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�HEC� OFF i,IST FOR ISSUANCE 4� PE�t.i.'VIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�►� o C�4sc,c� �o�N� t?-o a� <br /> PID: <br /> DESCRIPT'ION OF WORK: I��ec.�. �t�:P��-t.Mc►s' — <br /> ZO��G REVIE�V BY: DATE APPROVED: ?• z c-o b <br /> BLJ7ZDING REVIE�V BY: DATE APPROVED: �•zc�-b c: <br /> FEES TO BE CHARGED: � Misc. Fees Catculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`V � Yes � No SE�VER CO�INECTION <br /> STATE SURCHARGE Yes —� 1�'o WATERCONNECTTON <br /> INVESTIGATION FEE Yes No —� PARK FEE <br /> SAC Yes No �/ STTEINSPECTION <br /> Number of SAC�Uruts OTHER (sgecify) <br /> -------------------------- - <br /> ZOv'L�IG CHE.CK LIST Zoning Districc: /V� GH?}'�1C�� , <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Froa[ (Lake): Right Side: <br /> R�ar(Street): Lefs Side: <br /> Adjaceat Structures: �Vetl d: <br /> Buil�lin� Height: Def. Hgt, Peak Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date; By: <br /> Zoaing File: m Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Secback: Lot Coverage: <br /> E�iscin� Proposed <br /> O <br /> Ha.rdcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 50a-1000' <br /> �iatdcover Va�iznce Required: Yes No Date oE Council Approvz�: <br /> �E1I�4RKS (in house): E7�la C� �O(�4[.EML'�--'T 0� L—jzls7-wr flrs`�L <br />