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� � ' ' CHECK OFF LIST FOR ISSUAI�TCE OF PERI�IITS <br /> _ FOR OFFTCE USE ONI.Y <br /> ADDRESS OR LEGAL: s 1� �'�=.�z.N� {a c �= �� � - --- <br /> PID: — <br /> DESCRIPTION OF WORK: �c�,��-c— — <br /> ZO�'G REVIE`� BY: DATE APPROV�D: 4-2��� — <br /> BUII.DI�i 1G REVIEtiV BY: DATE APPROVED: 4'-Z:6 �o c� <br /> FEES TO BE CHARGED: Niisc. Fees Calculated By: <br /> pERMIT Yes �,/ No : <br /> pL,AN REVIEW Yes � No SEWF�COi�ECTION <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 /> ZOYLVG C�iE.CK LIST zonin� District: No �(__�1t _ � <br /> Fire Depar[ment: Post Office: School Distric[: � <br /> L.ot Area: Sq.ft. Acres W' th Depch <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): R.i�ht Side: <br /> Rear (S[reet): Left Side: <br /> Adjacen[Structures: �Vetland: � <br /> Buildin' Heijht: Def. Hgt. Pea:�Hgt. <br /> Lot Covera�e: <br /> Gradin�: Scaff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Dace: By: <br /> Zonin;File: � Resolution: � solution Date: <br /> Shoreland District: <br /> Av�. Setback: Blufi Setback: LotCovera�e: <br /> E���, Proposed <br /> � <br /> Hardcover: 0-7�' <br /> 75-250' <br /> ti0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�L�RKS (in house): <br /> 7 <br />