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� CHECii OFF i�IST FOR ISSUA.NCE OF �ERMITS <br /> FOR OFFICE USE ONLY <br /> ADDl�2ESS OR LEGA,L: 3�S S F��c��2��fe �'�� <br /> PID: <br /> DESCRIPTION OF WORK: z�� � � <br /> ZO�TG REVLE�V BY: �- DATE APPROVED: y- zs-0 6 <br /> BUIZDING REVIE`V BY: DATE APPROVED: �{-��-a 6 <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V Yes �/ No SEWER CO�TNECTION <br /> STATE SURCHARGE Yes �/ No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> -------------------------------------------------------------------------------------- - <br /> ZO��I.�tG CHE.CK LIST Zoning District: Ln->�- <br /> Fire Department: Post Office: School District: <br /> Lot Azea: Sq.fr. I1��55 Acres . `Z--7 Wid:h Depch <br /> Survey Submicted: Yes�C_ No Date of Survey: ��-� '�� <br /> Proposed Setbacks: <br /> Front (Lake): 1 bo•S Riohc Side: � �• `� <br /> Rear (Street): `f 2 - � Left Side: S.5 <br /> Adjacen[ Structures: N �� Wetland: /�/(� <br /> Buildin� Heighc: Def. Hgt. z �` Peak Hgt. 2� � <br /> Lot Covera�e: I 5. 5' _ <br /> Grading: Staff Approval Date: Z- �-C�� By: T.�ouncil Approval Date: — <br /> Sepcic: Scaff Approval Date: /� I✓b BY: <br /> Zonin� File: # ob�3��2 Resolution: # Resolution Date: 3 - Z 7- 0� <br /> Shoreland District: y�.� <br /> Av�. Setback: � • �� Bluff Setback: /v//� L.otCove�a�e: i S• S <br /> Eustin� Proposed <br /> 0 <br /> Hardcover: 0-75' O � <br /> 75-250' _,�D 9 �� <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes �_ No Date of Counci� Approv�: 3 � 2 �•0-6 <br /> REtiL4RKS (in house): <br /> z <br />