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' . CHECIi OFF LIST FOR ISSUA.I�'CE OF PERi>'IITS <br /> _ FOR OFFICE USE ONi.Y <br /> ADDRESS OR LEGAL: 3�y�j C,rty s�- f�!'°��l ��� <br /> PID: <br /> DES CRIPTION OF�ORK: �1 � lf.S t?-�S <br /> . <br /> ZOr'L�'G REVIEtiY BY: DATE APPROVED: t t - � - n� <br /> BUII..DZVG REV7�tiV BY: DATE APPROYID: � 1 - � -�"v <br /> FEES TO BE CH.4RGED: Niisc. Fees Calcula[ed By: <br /> pERMIT Yes ✓' No :� <br /> pI,AN REVIEW Yes �/ No SEWEFt CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEC ITON <br /> Number of SAC�Un.its OTHER (specify) <br /> ZOti�L1iG CH.�CK LIST Zoain�Districc: LR- ( �- �. <br /> Fire Department: ��.1 N� Post Office: ( ���"C�f��l�-- School District: I�V <br /> 5�61 <br /> Lot Area: Sq.ft. Acres . � � Widch S� Depth 1 i S•3`1 w v-Q <br /> Survey Sub�itted: Yes pC No Da[e of Survey: S- 2`{ -`15 <br /> Proposed Setbacks: <br /> , <br /> Frest (La.ke): '�� Ri�h[Side: 1 U� <br /> . � <br /> �e�r (Screet): �y Lefr Side: L�•5 <br /> Adjacent Structures: N�/� �Vetland: N ��'�' . <br /> Buildin� Hei�ht: Def. H�t. Z2• 7 PeakHgt. 3 � <br /> Lot Covera�e: (�•� <br /> Gradin�: S�aff Approval Date: 1 Z-- � ' o c� By: d • � Council Approval Date: — <br /> Septic: Staff Approval Dace: /V l/'�" By: � <br /> Zoain�File: # 2•S qg Resolution: � Resolutioa Date: �-2'�—� <br /> Shoreland District: yPs <br /> Av�. Setback v,4(i,,qrvc;e BlufiSetback: /v 1� LotCo�•era�e: (�.�'l — <br /> E���? Proposed <br /> Hardcover: 0-7�' 2,7 z`�°�o <br /> 75-250' �_ `l��° <br /> ti0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_Q No Date of Council Approval: 8 '� '�� <br /> REtiIARKS (in house): <br /> 7 <br />