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' �HEC� O�'F i�IST FOR ISSUANCE OF PE��'fITS <br /> FOR OFFICE USE NLY <br /> A.D <br /> DRESS OR LEuAL: i /.�a 1�s �'°�"'T <br /> PID: <br /> JDESCRLPTION OF WOR.K: �2 �/�� �e� o�r� �=z � s nr.�� �0�l�4-�� <br /> ----------------------- <br /> ------------�----------------- <br /> ZOY.�i IG REVTE�V BY: `--- — --------- pATE APPROVED: �C-q8 'O� <br /> SUILDING REV7EtiV BY: . . DA.TE APPROVED: s-8-0.� <br /> FEES TO BE CHARGED: Misc, Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEtiV � Yes _� No SEtiVE.R CONNECTION <br /> STATE SURCHARGE Yes _�� No �VATERCONNEC`TION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes I`Zo �� STTEINSPECTION <br /> Number of SAC�Uruts OTHER (specify) <br /> -- ----------------------- <br /> ZONi�i IG CIIE.CK. LTST Zaning Districr. �J� CFf'�'�1'� . <br /> Fire Departmenc: Post Office: Sc ool District: � <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front(Lake): Ri�t Side: , <br /> Rear(Street}: L�f:Side: <br /> Adjaceot Structt!res: �Ve and: <br /> Buil�lin� Height: Dei. Hgt, eak Hgt. <br /> Lot Covera�e: <br /> Grading: Scaff Approval �ate: B;: Council Approval Date: ' <br /> Sepcic: Stafc Approval Date: �Y� <br /> Zoain� File: � Resolution: � Resoludon Da:e: <br /> Shoreland District: I�ot Coverage: <br /> Av;. Setback: Bluff Secback: <br /> E�iscing Proposed <br /> H�dcover: 0-75' <br /> 75-250' <br /> 2�0-50C' <br /> soo-i�c�� <br /> rr .� ,_ �� • o n�� ��-ed: :''es :�`o n�;� nF Co�!ncil A ��vz: <br /> na:�cc•�,.� ��:�.cc.. .,� � - PP'- <br /> , � _ # �nS�3C� �'2-�7-oZ <br /> F.EtiL�,R��S (in house): �?.� �9�- <br />