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' � - CHEC�i OFF LIST FOR ISSUA:�'CE OF PER>'IITS <br /> _ FOR OFFICE USE ONL.Y � . <br /> �ADD�tESS OR LEGAL: y?SS QA y S i�C ��A"D <br /> PID: <br /> DESCRIP'TION OF�ORK: � ���L <br /> , <br /> ZO�"L\G REVI�ti�BY: D�.TE APPROV�D: � 2 - tt -0� <br /> BUILDI�'G REVIE�BY: D�.TE APPROYED: i L- 2� - o.� <br /> FEES TO BE C�L4RGED: Niisc. Fees Calculated By: <br /> pEgMIT Yes � No �� <br /> pL,AN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> I`i,'VESTIGATION FEE Yes No PARK �E <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC�Units OTHER (specify) <br /> ZOti�G CH�CK LIST zonin� Districc: R2- �3 <br /> � P�`P"�'^' � �r School District: � ro�/� � <br /> Fire Department: Post Ofuce: ��le(J!A-� � ,'- . <br /> I,ot Area: Sq.fr. �� cr�-�_Acres 2 ''�–' � Width 1/�(:7�v�'� Depch <br /> Surve;� Sub�itted: Yes DL No Date of Survey: ��T �-' �� <br /> Proposed Se[backs: <br /> 1 � � <br /> F.oat(Lake): ��' i b�`f Ri?ht Side: � Z•5 <br /> Rear (Street): � Z S �= Left Side: �a <br /> Adjacent Structures: ��G��� tiVetland: • <br /> Bu�din� Hei�ht: Def. Hgt. y /� Peak H�t. <br /> I,oc Coverage: N�� <br /> Gradi.n�: Scafi Approval Date: — �By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoaing Fil�: n � Resolution: n Resolution Dare: . <br /> Shoreland District: i�-�D <br /> Av�. Setback: Blufi Setback: LotCo�'era�e: <br /> E���� Proposed <br /> Hardcover: 0-75 <br /> 75-2�0' — <br /> ti0-500' <br /> 500-1000' - <br /> Hardcover Variance Required: Yes No Dat� of Council Approval: <br /> REtiLAR�iS (in house): <br /> 7 <br />