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� CHECIi OFF LIST FOR ISSUA._�TCE OF PERtinTS <br /> � FOR OFFICE USE ONL.Y . ' . <br /> ADDRESS OR LEGAL: L{0 l O ��+►-��. ��� — <br /> PID: . <br /> DESCR�TI4N OF�ORK: i1�'�(��2 � ��tt - G3�,�� s i-t-v� <br /> � - <br /> ZOr'L\�G REVTEti�+BY: �,,,,__ D�TE APPROV�D: �- 27-�I <br /> BUILDIti'G REV�SY BY: D�.TE APPROY�: 6 �Z�-�.► <br /> FEES TO BE CTi4RGED: Misc. Fees Calcula[ed By: <br /> pEgMI'r Yes c/' No �� <br /> pl,p,N REVIEW Yes _� No S��WER CONNECI'ION <br /> STATE SURCHARGE Yes ✓ No ��A1�RCONNEC'TION <br /> 1i�,rVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC�Units OTHER (specify) <br /> ZOti1-,IG CI�CK LIST Zoning Districc: G2- �C3 . <br /> Fire Departmenc: (Ytn�v�.a/� Post Ofnce: Yy.o�.w� Sc�col Discrict: � ��e5 �r/1� ' <br /> Lot Area: Sq.ft. No Gf�.t Acres — � Wid:h — DeP� r <br /> Surve;� Sub.:.itted: Yes_� No oc Dace of Survey: <br /> �91.- rvvc r �x c�a.�p rf�r•�J ��l. s rtt:YJ s .< �Z.o s.�. �' <br /> Proposed Setoacks: { <br /> Front (Lake): S�� � Ri;ht Side: � (o � <br /> Rear (Screet): Left Side: <br /> AdjacencStructures: I�O� �` �Vetland: NI � � . <br /> Building Hei�ht: Def. H�t. p •(L Pea.�H?t. d.IL <br /> Lot Covera�e: — <br /> Gradin�: Stafi Approval Date: --- By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoain�File: n � Resolution: � Resolutioa Date: � <br /> Shoreland District: u-e� <br /> Av�. Se[back:� I'lJ �} Blufi Se�back: I,otCo�'era�e: <br /> E���? Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' �. � . <br /> ti0-SQO' <br /> 500-I000' <br /> Hardcover Vari�ce Required: Yes No Dat� of Council Aoproval: <br /> REI�LA_R��S (in house). <br /> 7 <br />