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. <br /> C'�IECK OFF i,IST FOR ISSUANCE O�' PERi.'VIITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-1(.� ICe` PA �cw A <br /> PID: <br /> DESCRIPTION OF WORK: i�NN�-� Frn�«�.► ,�A�o�n c,.� o�- c.rx is 1�rr s�Rc� <br /> ZO�TG REVIE`V BY: ---N 1 r DAT'E APPROVED: <br /> BUILDING RE'VIEtiV BY: D A T E APPROVED: �-3�-o � <br /> F`EES TO BE CHARGED: Misc. Fees Caiculated By: <br /> p�g�T Yes ✓� No <br /> PLAN REVIEtiV � Yes ,/ No SEtiVER CO�INECTION <br /> STATE SURCHARGE Yes _/ No tiVATERCONNECTION <br /> INVESTIGATION FEE Yes No PE1RK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (sgecify) <br /> ZONI�tG CH�CK LIST Zoning Discricc: /�ro G�-�/'r� �. <br /> Fire Deparcment: Post Office• School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Froat (Lake): Ri�t Si : <br /> Rear (Street): Left Side: <br /> Adjaceot Structures: W tland: <br /> Buildin� Height: Def. Hgt. P �Hg�• <br /> Lot Covera?e: <br /> Gradino: Staff Approval Date: By: Council Approval Da[e: ' <br /> Sep�ic: Staff Approval Date: �Y� <br /> Zoaing File: (# Resolutioa: n Resolution Date: <br /> Shoreland District: <br /> Avj. Setback: Bluff Setba : L.o[Coverage: <br /> E�isting Proposed <br /> Hardcover: 0-75' <br /> 75-25Q' <br /> 2�0-500' <br /> f 5Qa-1000' <br /> � ) <br />�� � � <br /> Hardco��er Va.riance Required: Yes No Da�e oE Council ApProvz!: <br /> RE! L4R'S (in house): P£.��T s 2 O � = "� C�'''�� <br /> It,s T' � �u � � � � p I o i o z 'r' <br /> � � .-� .O . <br />