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. ' <br /> . <br /> ' CHEC� OFF i,IST FOR ISSUANCE OF PE�'VIITS <br /> FOR OFFICE USE ON Y <br /> ADDRESS OR LEGA.L: Q. <br /> PID: <br /> DESCRIPTION OF WORK: _���t,J (��o <br /> ---------------------------------------------- <br /> ZOV�IG REVIE`V BY: `---^�______� DATE APPROVED: __�Z��� <br /> BUII�DING REV]�tiV BY: ► �C �. DATE APr�OVED. � 3�- � <br /> -------- ----=-------_��-_ ----------------------------------------------------------- <br /> FEES TO BE C�iARGED: Misc. Fezs Caiculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIE�V � Yes �/ No SEti�ER C0�INECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No l/ SITEINSPECTION <br /> Number of SAC�Units OTHER (sgecify) <br /> -------------------------------------- <br /> -------------------------------------------------------------------- <br /> ZO�G CT3E.CK LIST Zoning Districr. �_� <br /> Fire Department: Post Office: School Dis[rict: <br /> Lot Area; Sq.ft. Acres �.Z� Width Depth <br /> Survey Submitted: Yes � No Date of Survey: � Z � <br /> ��� . <br /> Proposed Setbacks: nw�"h ' �S�„r� a��lo�sf,a.� crf 6N�, <br /> Froat (Lake): h d... �Side: cj �I' <br /> (P�,a� , se�4�► , apPv+rs � he- <br /> C/ot¢. � <br /> �ear �-&�ea�3: �I �e€�-Side: l60 � ��d /�.l shcwn <br /> Adjacen[ Struc[ures: 1'1z�, <br /> �Vetland: � S�� <br /> �uil�lin� Hei�t: Def. Hgt, ►�Z.� _ Pea.k Hgt. <br /> Lot Coveraje: a ( � a�o °� 7S" Z5 Z""'� <br /> Grading: Staff Approval Date: yti�a By: Council Approval Date: <br /> Septic: Staff Approval Date: Yi f2 BY: <br /> Zoain� File: n Resolutioa: # Resolution Date: <br /> Shoreland District: ruv►� S��OS g»'`L ���' <br /> Av�. Setback: Vt W Bluff Setback: Lot Covera;e: <br /> EListin� Proposed <br /> Hardcover: 0-75' � no �1�►"'q2� <br /> 75-250' �"` �� � iPP•� 'Z4%� <br /> 2�0-500' � <br /> 500-1000' ''�' <br /> � 1►�c1�.des ('>ft�o s H,wIKu.A..� �n C� - -L <br /> I-ia:dcover Va:iacce Required: Yes �Io _� Dace oE Council Approv�!: <br /> R.EtiL4RKS (in house): rr,r �i�l� � c�uK n � <br /> �►I Q d ' 1 S �,-�N �d �o be. s�avp,� c�.►� Icx,r � S�+v�,c,+i — s� <br /> s U► � �' <br />