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CHECK OFF LIST FOR ISSUA.��tCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 3 g o C.�-�c 2(�y �P�.,c.cs <br /> PID: <br /> DESCRIPTIONOFWORK: CN'r (LooF r , ,,�5 ,a��►.O n.rPw �►ss�f oN c-X?. ,(�4�1�.�F <br /> - -____���— - - -------------------------------------------------------------- U <br /> ZO.V�ii G REV��V BY: DATE AF'PROVED: 8 •3 •o�( <br /> BLTII�DI'i�1G REVLE`Y BY: DATE APPROVED: �g •3 .o K <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER.�ti1IT Yes ,/ No <br /> PLAN REVIEW Yes ,/ No SEWF.R CONNECTION <br /> STATE SURCHARGE Yes � No WATERCO�tNECTION <br /> INVESTIGATION FEE Yes I�to PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ------------------------------------o------- <br /> ZOYING C�iE.CK LIST Zonin� Districc: C.2• �� <br /> Fire Departmen[: Post Office: Schoot District: <br /> Lot Area: Sq.fr. �-�-,`�s� Acres . �Z� Widch Depth <br /> Survey Submitted: Yes_ C� No Date of Survey: 3-�S���( <br /> Proposed Setbacks: 6 Do� 6A,�(q Poa.c.(�. <br /> Front (Lake): 1'l 1Z 3 Right Side: � S`1 <br /> Rear (Street): 6� I �a Left Side: l(�•5 3 r•3 <br /> � N (A <br /> Adjacent Structures: �Vedand: <br /> Building Height: Def. Hgt. �, k Peal:Hgt. -' <br /> Lot Coveraoe: L�.}� <br /> Grading: Staff Approval Date: �' By: Council Approval Da[e: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # '-' Z`�b `► Resolution: (# Resolucion Date: (� • 2�$•�`-/ <br /> Shoreland District: y-�5 <br /> Avg. Setback: �v�� Bluff Setback: ^/�� Loc Coverage: — <br /> ExistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' 3ar•z S �e"i� <br /> 250-SQO' <br /> 500-1000' <br /> Hardcover Variance Required: Yes D� No Date of Council Approval: 6 � Z�'�y <br /> RE1��RKS (in house): <br /> 7 <br />