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, . CHECK OFF LIST FORE US ONLyOF PERMITS <br /> FOR OF � <br /> � .�.,;.ti �,z;,. <br /> ADDRESS OR LEGAL: �-� . - J i <br /> : <br /> ; , - <br /> P � - ��� �,:� .�� <br /> ION OF WORK: �1,�`t��-�n-� -- �.. <br /> DESCRIP'T --------------------------------------- <br /> --------------------- <br /> --------------------------- <br /> ---------------------------- DATE APPROVED: <br /> ZONING REVIEW BY: n-� (��,, �"' `t t� <br /> > � DATE APPROVED: 4, _ `., <br /> VIEW BY' � <br /> BUILDING RE • - -------------- <br /> --------------------------------- <br /> ---------� ----------- <br /> ---- <br /> ------------- <br /> Misc. Fees Calculated y: <br /> FEES TO BE CHARGED: YeS f No <br /> PERMIT YeS �- No f SEWER CONNECTION <br /> PLAN REVIEw ✓- No WATERCONNECTION <br /> STATE SUR:�IARG� YeS No p�,RK FEE <br /> INVESTIGAZ'ION-FEE YeS SITEINSPECTION <br /> No <br /> SAC Y�S - OTHER (specify) <br /> Number of SAC Units __ ---"' <br /> ----------------------- Zonuig District: <br /> ZONING CHECK LIST � <br /> Post Office: Sc�ool District: <br /> Fire Department: , <br /> �! W idth/�� Depth <br /> Acres � <br /> Lot Area: Sq.ft• , � <br /> Survey Submitted: <br /> j �,�t Yes No Dylte of Surv y: <br /> � t <br /> I �` '� ' ' <br /> Proposed Setbacks: � ' Right Side: � <br /> Front (Lake)r ; �' <br /> l � ` , <br /> Left Side: <br /> Rear (Stree : � <br /> Adjacent S ctures: , <br /> W etlaud: <br /> � � ' Peak Hgt. -------- .. <br /> Building Height: ef. Hgt. � _------ <br /> i � �E�� <br /> E � � <br /> Lot Coverage: ; <br /> � gy. Council A roval Date: <br /> Grading: Staff A�pproval Date� � <br /> � ' By: <br /> Septic: Staff A proval Date: I ,� <br /> !Resolution: # I T_ Resolution Date: <br /> Zoning File: # ; , <br /> , i <br /> Shoreland Dis .ict: - � Lot Coverage: <br /> , ; Bluff'Setback: proposed <br /> Avg. Setback: Existing <br /> �� <br /> �— <br /> Har cover: 0-75� I �— <br /> 75-250�! ---= <br /> ' 250-5�' _----- <br /> 500-100�' _— <br /> Hardcover Variance Required: Yes <br /> No <br /> Date of Council Approval: ___ <br /> �M�gS (in house): <br /> 26 <br />