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, �HEC�K OFF i�IST FOR ISSUANCE O�' PERIVIITS <br /> FOR OFFICE USE ONLY <br /> A.T�DRE�S OR LEGAL: I SS (o�.oe.rvv�c w n2�v e <br /> PID: <br /> DESCRIPTZON OF WORK: �Ino�sr��z r3+�o a 3A-�rrt,�e►� L—�d��- <br /> ZO�IG REVZE�V BY: ----------------- DATE APPROVED: iv�� <br /> BUILDII�IG REV'IT'tiV BY: DA7�`E APPROVED: y�z'7-o� <br /> FEES TO BE CHARGED:� Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes ✓ No SEtiVER COVNECTION <br /> STATE SURCHARGE Yes � No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No _,�/ PARK FEE <br /> SAC Yes No ✓ S�'I'EINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZON'1�lG CT�E.CK LTST Zoning Discric�: /vo CH.�►n/M �. <br /> Fi.re Department: Post Office: School District: � <br /> I.ot Area; Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Secbacks': <br /> Fron[ (Lake): Ri�t Si e: <br /> Reae (Sirez[}: Lef:Si P: <br /> Adjaceat Structures: 1�Vetland: <br /> Buil�lin� Hei�t: Def, Hgt, Pe ' Hgt. <br /> Lot Coverage: <br /> Grading: Scaff Approval Date; By: Council Approval Da[e: ' <br /> Szpcic: Staff Approval Date: "1 '� �"�� �Y� �' " <br /> ZoainQ File: 7 Resolutioa: n Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Secback: I.ot Coverage: <br /> E�istin� Proposed <br /> a <br /> Hzrdcover: 0-75' <br /> 7�-250' <br /> 2�0-SOfl' <br /> �caiaco� <br /> i-i�:dco�er `.'�i�ce P.��.:i;��: �'�es L:o Da:e e` Cc:�a��� APP=ova_': <br /> F.E�L=�RIzS (in howe): <br />