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CHECK OFF i�IST FOR ISSUANCE OF �ERIVIITS <br /> FOR OFFICE USE ONLY , <br /> A.DDRESS OR LEGAL: Z�� � �- C:�v��}`� S I((.�::. •� �`- <br /> PID: <br /> DESCRIP'TTON OF WORK: I�` k I� �I�. �, ; �`" <br /> --------------------------------------------------------- <br /> ZO.�i G REVIE�V BY: r---------------- DATE APPROVED: � Z7 O <br /> SUII�DING REVIE`V BY: DATE APPROVED: 6 Z� -o� <br /> FEES TO BE CHARGED: Misc, Fees Caiculated By: <br /> PERMIT Yes l� No <br /> PLAN REVIE`V Yes —� No SEtiVER CO�INECTTON <br /> STATE SURCHARGE Yes _� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------.�---------�--------- <br /> ZOiYJi�IG CHE.CK LIST Zoning Discricc: (��"�__"_l� �, <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres �� � ��� Width ���..' Depth ��v�r,la� <br /> �;kE��h�� r,� �� <br /> Survey Submi[ted: Yes No �/ Date of Survey: �=,�,��� �,� ���w, h�-�'L– <br /> . t"(HS <br /> Proposed Setbacks: ����������c.� <br /> Froat(Lake): �'�r�:�� Righ[Side: Gv <br /> Rear (Street): �I Left Side: _��GZCJ�,— <br /> / � <br /> Adjacent Structures: G(� � Wetland: <br /> i <br /> Buildin� Heioht: Def, Hgt. �i ��Z� Peal:Hgt. � � <br /> Lot Coverage: �J l�' <br /> Grading: Staff Approval Date: �tJ/�- By: Council Approval Date: <br /> Septic: Staff Approval Date: �//a- gy: rn`':>r �.,`_' �r-�' �Y` , �� "„`��.1',,`;� <br /> Zonin� File: # � Resolutioa: � Resolution Date: <br /> Shoreland Districc: /V� <br /> Av�. Setback: Bluff Setback: I.ot Covera�e: <br /> Ecisting Proposed <br /> Hardcover: 0-7�' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Counci! Approvzl: <br /> RE`�L4RKS (in house): . ����,� �1r2 � _ s�th = <br /> ,�, � �- '�,�-( - � �c;., :�.�s� � � lu <br /> , _ ., - . <br /> ; �, < . . _ <br /> /�, -----_ .� � <br /> S S i:U`-�v�. w� � U� IY;t C'C�iT_�' u � �- � �c.l.C� <br /> �t�-�-�����sr��- -� � ��1t� _ �o E� � � p� � <br />