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� . CHEC� OFF LTST FOR ISSUANCE OF PERiI�ITS <br /> � FOR OFFICE USE ONLY �, <br /> A.DDRESS OR�,EGAL: _ � `-�4��? �t4WS 4���- t - � ���-C���� �h� ��Si� � � . <br /> �'1�: Jl - / l � � � 3 '> c���� o,�, ' . <br /> DES CRIP'I'�ON OF`�'VORb'.: _ ���,.1 /ZE-S � <br /> ZO\�iYG REVIEti�BY: � DATE APPROVED: �3 �2 �°r� _`- <br /> BUIZD .�i IG REVIEti�BY: � . DATE APPROVED: 3- 2 -9 g <br /> FEES TO BE CHARGED: � - � Misc. Fees Calculated By: ~� ~ <br /> PERMIT �Yes ✓ No ' <br /> PLAN REVIEW Yes �' No SEW�CO��IN'ECTiO�t <br /> STATE SUR`H�.kGc, Yes � No ti�IATER CONNECITON <br /> INYESTIGAZZON-FEE Yes No ✓ PARK FEE <br /> SAC Yes No �/ SITEI�i tSPECTION <br /> Number of SAC Units �`OTHER (specify) <br /> --------- ----- --- <br /> ZONI�TG CHECK LIST zonino Districr. R R.- )� � <br /> Fire Deparcment: �►,AP� P(sfrnl Post Office: �v�q Pu: Pc,q.,iv School District: I - ' <br /> �SJ�,e s rv N�.A� <br /> �\ I.ot Area: Sq.fr. Acres_ � . S tiVidch c�l,CLI.��� Depth -"` ' <br /> � � . <br /> Survey Submitted: Yes_� No Date of Survey: /2-2 Z -�i� <br /> Proposed Setbacks: b'b 5 � � <br /> Froat (La.ke): , � Right Side: 7 3� f _ . <br /> Rear (Street): �L�J Left Side: ZS 8 <br /> Adjacen[Structures: �t//�9- SVetland: — <br /> Buildino Heioht: Def. Hgt. 2�1 Peak Hgt. 3`j <br /> Lot Covera�e: A/�/� <br /> Grading: Stafi Approval Date: 3�� 2 - g5. By: �� Council Approval Date: <br /> Septic: Staff Approval Dace: By; • . <br /> Zonino File: � � Z�15�-1 Resolution: � Resolution Date:� • <br /> � � �°,it- L�c vt-J wsi,�-� . <br /> Shoreland D'u[.-ict: �f[� <br /> Avg. Setback: B1uff Setback: Lot Coverage: � _ <br /> ' • Exis tin� Propos e d <br /> Hardcover: 0-?5' <br /> 75-250' � • - ' <br /> 250-500' . • <br /> 500-1000' <br /> Hardcover Varia.nce Required: Yes No Date of Council Approval: <br /> � <br /> RE1�ZA1�5 ('in house): � <br /> . z -..� ' � <br /> • '' 26 <br /> , ��� . . <br />