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, . <br /> ` ��iECK OFF i�IST FOR ISSUANCE OF �'ER.��TS <br /> FOR OFFTCE USE ONLY� <br /> ADDRESS OR LEt�AL: „��I 1 � C o�/�"�`I S •cle �(�• l� <br /> PID: d � <br /> �ESCRIP'I�TON 4F WORK: t <br /> ----------------- - <br /> ---------- - <br /> --------- ------------ ---- `. %`� <br /> ZO`�i G REV�E�V BY: C� I7ATE APP�OVED: -:� <br /> BUII�DING REVJTtiV BY: <br /> . DATE APPROVED: �-2 3 -�7� <br /> FEES TO BE CHA�tGED: r� Misc. Fees Calculated By: <br /> P��y�T Yes � No <br /> PLAN REVIEtiV � Yes No SE�VER CONNECTION <br /> �,VATER CONI�IECTION <br /> STATE SURCHARGE Z'eS �' �0 p� FEE <br /> INVESTIGATION FEE Z'eS �0 � S�EINSPECTION <br /> SAC Yes No <br /> Number of SAC Units _ <br /> OTHER (specify) <br /> ----------------------------- <br /> -------------------- <br /> -------------------------- � <br /> ZONING CH�CK LIST' Zoning Districc: � . <br /> Fite Depares.ent: <br /> Post�ffice: School District: � <br /> L,ot Area; Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes <br /> ✓ �o Date of Survey: l �Z�-O � <br /> Proposed Se[backs: ��t Side: <br /> Front(Lake): • <br /> Rear(S[reet): Left Side: <br /> � �Q�,,K„ �� � ��11r1 <br /> ?.d;acP�t crn,cbsre�; � �o/ Wet!�d: � <br /> V�.l� Vv�a,��� Z <br /> "� 2S' b��fl-✓ <br /> Euil�lin� Hei�t: Def. H�t, __ Peal`Ho ' <br /> �tKel d.e.l�►�,rkcvti -4. Zp' SQ,E-lonte l� <br /> Lo[ Covera�e: �/'k 7�2'-��C��D <br /> i� �� <br /> B Councii Approval Date: ' <br /> Grading, S,aff Approval Date: Y- <br /> Sepcic: Staf� Approva! Dace: �' ��'� [ �y: �� <br /> Zo�ng File' r__ Resolutioa: n___ Resolution Da:e: <br /> Shoreland Dist:icc: n[� L,o[Coverz�?' <br /> Av�. Setbac't:: <br /> Ei,,,F�Sar�ack: ��. <br /> � P;oposed <br /> �t!stina <br /> Ha�cc.over, G-7�" <br /> '15-250' <br /> 2�v-�t��' <br /> �;�0-iC�C�J' <br /> �, r �- �;� u�.., o.` Cv�:c� .`,��::.. ='. <br /> a-c�e�:e: 'v'z:z�.�e <�e�;�.:-e�: �e� - <br /> �%T_' � n �..�1: �s b�d . � t�,M�wAI �t�'�� C.,V1! l���h�l "�`�'"`�'� <br /> �.r ZL�T�_ (.L.ho'��, v��s � <br /> � LZ <br />