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i � <br /> CHECK OFF LIST FOR ISSUANCE OF PERi1�IITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: Z�4 S L.r�-n.cr O 2cNt�r'.�, C�J d4y . <br /> PID: <br /> DESCRIPTION OF WORK: �.�, or � �=- <br /> ZOVTi i G REVIE`V BY: DATE APPROVED: /Z-�7-g 1 <br /> BUII..D�iG REY�W BY: � DATE APPROYID; � i-�� -'�, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> pLAN REVIEW Yes No � SEOVER CO�fNFC!'ION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No _ PARK FEE <br /> SAC Yes No � STfEINSPEG"ITON <br /> Number of SAC�Units� A� ��� 02«� y�Ac., OTHER (specify) <br /> � 'N�i`'"'��__—r_______------ ---'- <br /> ZO�Z`�'G CH�CB LIST zoning Districc: No Gc-�+�r�-e � . <br /> Fire Department: Post Office: School Dist�ict: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> rront(I.ake): Right Side: � � . <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wedand: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: ' <br /> Gradin�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Covera�e: <br /> � Existmg Proposed � <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: _ <br /> REMARKS(in house): � C�-�c�rr�/Y{t_ l�iv�c.�/L t�'i (t,�YJ ��'tAw� �'o�_ <br /> ��dL �OJrv�Q-fi't,.,I� WAS t/�.5T14�.(.t��'..� � SIc.A���- GoNST, �l�+�+O <br /> T�4Kt� C�v�2 <br /> 7 <br />