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^ CHECJK OFF i�TST FOR ISSUANCE O�' �'E��'IITS <br /> . FOR OFFICE USE ONL1'� . . <br /> AD�RESS ORLEGAL: i 2� I-f�l1�2�1 <br /> PID: , <br /> �{ kf�e G�a-, <br /> DESCRIPTIO�t OF W�RK: /-�t� $ in a. �e•w� � <br /> _------ - �X-�R-�'�-��,t.� _--__�.....------------------------------------�+'° re._.:._---�'-`=-_d <br /> ZON�i tG RE'V7�tiV BY: DATE APPROYED: Z � <br /> BUII,DIl�IG RE'VIEtiY BY: ' . . DA.TE A.PPROVED, 3-0 7 <br /> � ------ ---- ---- ----------------------------�---------------Z—�---------- <br /> FEES TO BE CHARGED: Misc. Fees Catculated Sy: <br /> PERMIT Yes � No <br /> PLAN REVIEtiV � Yes ✓ No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes —� No �VATERCONNECTION <br /> INVESTIGATION FEE Yes No � S ETT. INSPECTION <br /> SAC Yes No <br /> Number of SAC�Units OTHER (specify) <br /> ------------------------------------------- I <br /> 2pN�i!G CH�CK. LIST Zoaing Districc: � ' . <br /> Fire Department: Post.O�ce: School District: • � <br /> L,ot Area; Sq.ft. Acres_�_ Widch Depth <br /> Survey Submitted:� Yes No Date of Survey: <br /> Proposed Setbacks: c�aa4' ' , ; <br /> Front(Lake): h,d.y �Side: '� _ , <br /> + � ��' <br /> Re ar (£tree�}. �� L�e€e-S ide: �n o c4w,,,4 r� <br /> Adjacent Structures: Wetland: <br /> Builclin�Heighc: Def. Hgt, Peal:Hgt. <br /> Lot Coverage: -�c� <br /> Grading: Staff Approval Date: Nd CNwn�,e BY: r7��' Council Approval Date: —'_ ' <br /> 5��� �pbn.,,� i+y�.r.�.,� /L��• <br /> Septic: Staff Approval Date: �Y� �• <br /> Zoain� File: n Resolution: � Resolution Date: <br /> c�cli�c� L�� -- �n►✓h�l - � � �l� s <br /> Shoreland Distric[: ✓ C � Lot Covera�e: <br /> Av�. Setback; Bluff Setback: <br /> Etistina Propased <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 254-5Q0' -- _�— v�c� ct�n.. ,p� <br /> 500-1000' O k� �-- ql <br /> Kardcover Va;ia.nce P,equiied: Yes No ✓ Dace of Council A2Prov�.; <br /> F.E`L4RIiS (in house): <br />