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CHEC� OFF i,IST FOR ISSUANCE O�F' PERIVIITS <br /> , FOR OFFICE USE ONLY <br /> ApDRESS OR LEGAL: g�os �GM�'lo��rL 1�c�. I�t� <br /> PID: <br /> ]JESCRTPri'ION OF WORK: Z �� � <br /> /?7 rr.►�l S u�_.q�ZSQ�3rlJ'h/rl.�- ------------------------n_ <br /> ------------------------ <br /> ZOY.NG REVIE'FV BY: AATE APPROVED: Q I O� <br /> $UII.�DING REVIEtiV BY: I�A.TE APPROVED: 9.Z� - o �- <br /> FEES TO BE CHARGED: Misc. Fezs Calculated By: <br /> p��T Yes ✓ No <br /> PLAN REVIEtiV � Yes I/ No SE�VER CONNEC`ITON <br /> STATE SURCHARGE Yes �/ No �VATERCONNECTION <br /> INVESTIGATION FEE Yes No ,./ PARK FEE <br /> SAC Yes No v STTEIN5PECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------- / <br /> --------_--------- <br /> ZONING CHE.CK LIST Zoaing District: / ._ . <br /> Fire Depar[ment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submicted: Yes No ✓ Date of Survey: ! � �5� <br /> • ,5�/�'�JP.'� ��1�� <br /> Proposed Setbacks: <br /> Froat(Lake): R.ioht Side: <br /> Rear(Street): Left Side: <br /> A�j3�e�r .$rni�hsrz�; Wetl?*�d: <br /> Buil�ing Height: Def. Hgt. Pealc Hgc. <br /> Lo[ Covera�e: <br /> Grading: S�aff Approval Date: By: Council Approval Date: ' <br /> Septic: S�aff Approval D�te: ' ' �Y�' , <br /> Zoain� File: �Q • Resolutioa: n Resolution Date: � � V <br /> . <br /> . _ . , <br /> Shoreland Dist:ict: � � . � <br /> A�vg. Setback: � B'.uf�Setback:° LotCove�ge: <br /> � Eustin� � Proposed/L���� <br /> ' Ha��ccover� G-7�' ��0 3 /o <br /> 7�-250' � � <br /> 2�0-500' <br /> SCO-1C�C�J' <br /> n �i�� �3f� Oi COILiC[� .�tprCC`;2�: � Q <br /> �-T,a�QCO`'2L �'�3":2IlC2 t�2:�li'.iZ�: �Z� ��" <br /> + 5¢-kbpel� <br /> F.E�L=�RhS (in house): <br />