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CHECK OFF LIST FOR ISSUANCE OF PERI�IITS <br /> FOR OFFICE USE ONL,Y • <br /> ADDRESS OR LEGAL: Z.� �d Cx�?pC R V t�� �--��= <br /> PID: <br /> DES CRIPTION OF��ORK: �1`, c�,s �Z�.� <br /> — --------�___�--- ______ <br /> Z0�7ti G REVIE`V BY: � DATE 4PPROVED: 2 -I `-c- �� <br /> BL7I.DL�1G REVIE`� BY: DATE APPROYID; Z.-S��t - �o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER��IIT Yes v� No <br /> pLAI�t REV�W Yes � No SEWER CO�'ECITON <br /> STATE SURCHARGE Yes ✓ No `VATERCOi�+'ECTION <br /> INVESTIGATION FEE Yes No r�- PARK FEE <br /> SAC Yes No r/ STTEI�i TSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO`Zti G CH�CK LIST Zoning District: R 2- � 6 �. <br /> Fire Department: (,c91`t(�(�I(,�,s Post O�ce:� S School DSLLict: C�tZ-t�Nb <br /> Lot Area: Sq.ft. 43�,31 �( Acres �.•c�3� Width 2c�� Depth �/`-I(•�6 7 <br /> Survey Submitted: Yes � No Date of Survey: / -L�S-U O <br /> Proposed Setbacks: <br /> Front(Lake): `'�3�7 Ri�ht Side: i ��•'� <br /> Rear (Street): °l l,.b I.eft Side: 1 9 b <br /> Adjacent S[ructures: /1r/�4 Wedand: N/� <br /> Buildin� HeiQhc: Def. Hgt. Z�•5 Pea�:H?t. 33•» <br /> Lot Covera�e: N�l� ' <br /> Gradin�: Staff A?proval Date: By: Council Appro�-�1 Date: <br /> Septic: Staff Approval Date: Z -�- o o By: G•P. <br /> Zoain�File: # '— Resolution: � — Resolution Date: — <br /> Shoreland District: {�d <br /> Av�. Setback: Bluff Se[back: Lot Co�rora�e: <br /> Ezist'mg Progosed <br /> Hardcover: 0-7�' <br /> 75-2�0' <br /> 2�0-500' <br /> SCO-1000' <br /> Hardcocer Variance R�quired: Yes No Date o`Coucci? Approval: <br /> RE�IARtiS ('ln house): <br /> 7 <br />