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• ��iEC� OFF i�IST FOR ISSUANCE OF PE��IITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �2.�.0 6�Lc�ffs Po c^��' <br /> PID: <br /> DESCR�I`ION OF WORK: Pt� (t.� l��K^�-� <br /> ZOVI�IG REVI.E�V BY: ---✓►���� S � DATE APPT�OVED: �o� 2.3-a� <br /> SULLDING REVTEtiV BY: .,Q,� � DAT�E APPROVED: t o- -t-3-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Xes ,,/� No <br /> PLAN REVIE`�T � Yes �/' No SEti�TE.R CONNECTION <br /> STATE SURCHARGE Yes � No �VATERCONNECTION <br /> INVESTIGATION FEE Yes No 1/ PARK FEE <br /> SAC Yes Na � SITEINSPECTTON <br /> Number of SAC�Uruts OTHER (specify) <br /> ZOYI�G CT:iE.CK LTST Zoning Districr. . <br /> Fire Department: Post�ffice: School District: � ' <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes �c No Date oF Survey: �•Z�(-�� <br /> Proposed Setbacks: , y� I f � <br /> Froat (Lake): S Z• °I � Riaht Side: — . <br /> Rear(Streetj: I 3'�� + Laft Side: 21 )� t <br /> Adjaceot Sc:uctt!res: N/A Wetland: — <br /> Buil�lin�Hei�ic: Det, Hgt, �✓�� Feal:Hgt. <br /> Lot Covera�e: N�� <br /> Grading: S�aff Approval Date: — By; Council Approval Date: ' <br /> Sepcic: Stafc Approval Date: —' B�� <br /> Zoaing File: � G - 3 Z7� Resolutioo: � Resolution Da:e: � - h� � b <br /> Shoreland District: `��h <br /> Avg. Setback� �j.)c Bluff Setback: N �B- L.otCoverage: N/A <br /> E�istino Proposed <br /> Hzdcover: 0-75' G•'� y� y <br /> 75-250' � 3��7 <br /> 2�0-500' <br /> 500-1000' <br /> r a_ � . �� T,ar� n` Cpl�Ct1 A��i0v2�: °I- Jl-U b <br /> [i2i��0'ti�r ta"c_::2.GCA ��.^ll!ll��: ``e5 .X �'. <br /> F.E�L4R�iS (ir.house): <br />