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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERIYIITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: ��3 O C.�.�4�= sr <br /> PID: <br /> DESC.RXPTIONOF yvORK: L=N7it�C.c: �'►�^'^"' -s <br /> ------------------------------------- ------- ----------------------------------------------------------------------- <br /> ZONING REVIE tV B Y: DATE APPROVED: �7- � • �Y <br /> B UILDING.REVIEW B Y: DATE APPRO C�ED: � - � -�y <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Nlisc. Fees Calctclated By: <br /> PERMIT Yes ✓ No <br /> PLAN.REVIEGV Yes �/ �Vo SEWER GONNECTIDN <br /> STATE SURCI�ARGE Yes � tVo tiVATER CD�WECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No �/ SITENSPECTION <br /> Nccmber of SAC Units OTHER (specify) <br /> ZONIlYG CHEC.F�'LIST Zorting Dlsh•ict.• <br /> Fire Departrnent: Post Off ce: Sclzool District.� _.. <br /> Lot Area: Sq.ft. Acres GYidth Dept{i <br /> c�-��f, o <br /> S�crvey Subr::itted: Yes oG No Date af Scavey: oiv �'�r� <br /> Proposed Setbncks: � <br /> Frorst(Lake): � ' Rig/it Side: 5 <br /> Rear•(Street): G•!� Left Side: �•�e <br /> Adjcrcent Structcu•es: �-<< Wetlancf.• <br /> Buildilig Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approvccl Date: By: Cotcncil Approval Date: <br /> Septic: Staff�lpproval Dc�te: By� <br /> Zonirig File: # Resolution: # Resol�ction Date: <br /> �•�L n• Shoreland Dish•ict: <br /> (�' Avg. Setbnck: Bluff Setback: Lot Coverage: <br /> p p' Etisting Proposed <br /> Hc�rdcover: 0-7.i' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Kardcover Vnriance Reqaiired: Yes No Date of Couisci!�ipprovc�l.• <br /> REt1IARKS(in l:ouse): <br /> 31 <br />