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CHEC� OFF i�IST FOR ISSUANCE O�' PE�'VIITS <br /> FOR OFFICE USE ONL1'' <br /> ADDRESSORLEGAL: Gos rErtrv��� .�Z��� <br /> PID: <br /> ]DESCRIPTION OF WORK: (i�vv�,o✓�e� /V-c�e.sso 2�, srn�r c,-tti ll�; <br /> ZOY.�i IG REVIE�V BY: -------- DA'TE APPROVED: q -��. o b <br /> SUII�DING REV��V BY: DATE APPROVED: q -►� - o � . <br /> FEES TO BE CHARGED: Misc. Fees Calculated Sy: <br /> pE�T Yes � No <br /> PLAN REVIE`V � Yes _� No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes � No `VATFRCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (sgecify) <br /> ZOi�ti,I'G CT�E.CK LIST zoning Discricr. l 2-�� — �. <br /> Fire Departmenr. Post Office: School District: � <br /> Lot Area: Sq.ft. l?���� Acres Z.1 Z Widch Dep[h <br /> Survey Submitted: Yes oG No Date of Survey: <br /> Proposed Secbacks: <br /> Front (Lake): Ri�t Side: <br /> /v0 CF'f Y`�� <br /> Rear (Stree[}: Left Side: <br /> Adjaceat Structures: �Vetland: !�1� <br /> Buil�lin� Hei�ht: Def, Hgt, �o G�,�,q-r� Pealt Hgt. — <br /> —�._ <br /> Lot Covzra�e: 1v�� <br /> Gradino: Scaff Approval Date: /1��L By: Council Approval Date: <br /> Septic: Staff Approval Da[e: /LJ IT/� �Y: <br /> Br'� <br /> Zoain� File: n O6 311 1 Resolution: n 2 '27-o L Resolution Date: <br /> Shoreland Distric[: �,�� <br /> Av�. Setback: vtti.rt,�I�,N'c� Bluff Secback: �✓//t- L.ot Coverzge: — <br /> E�istino Proposed <br /> Hardcover: 0-75' <br /> 7�-25Q' <br /> 2�0-500' /JU CHAN�C- <br /> S00-lUCO' <br /> ir �.. \�"c.=1"ci:Co Dom.:li�'.�.: V�S 1!Q D�3IP. 0: C.^,'_tr+,r�� ���rr1V��: <br /> L12i�:�0'�2i �� <br /> F.EtiL�R�:S (in hou�e): <br />