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CHECIi OFF LIST FOR ISSUr��10E OF PERivIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3"�ZZ L��� N �,S�o N �qv�c. <br /> PID: <br /> DESCRIPTION OF`VORK: N C c.� 1Z�5 <br /> - --- --- -- -- -------- <br /> ----------------------------------_-------------- <br /> ZO�G REVIE`V BY: DATE APPROVED: � Z�—o( <br /> BUII�D�iG REVIEW BY: DATE APPROVED: -� --t,.�_c,� <br /> FEES TO BE CHARGED: �1isc. Fees Calculated By: <br /> PERi�fIT Yes �/ �o <br /> pLAN REVIE`� Yes v �o SEWER CONNEC'I'ION <br /> STATE SURCHARGr, Yes � ti o WATER CONNECTION 3Sb� <br /> I�IVESTIGATION FEE Yes \o � PARK FEE <br /> SAC Yes � �o STTEI�i TSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> ZO��i TG CHECK LIST zoning Disuict: C�2.-tc- 1 <br /> Fire Department: Yvt,��,n� Post Office: rvla��u/J School District: wtS T-o.�k.t <br /> Lot Area: Sq.ft. �Z�� Acres -d 2--5 �Vid�h Z� Dep[h lo`( <br /> Survey Submitted: Yes � No Da�e of Survey: 'r1-13 0( <br /> Proposed Setbacks: <br /> Fror.c (Lake): /$.4'`�( Right Si��: c� <br /> Rear (Street): l Q •� Left Side: C� <br /> Adj�cen[ Structures: F}�Tq��--y� «'etland: /v (� <br /> Buildin� Heiaht: Def. Hgt. c9 ,(C Peak Hgt. <br /> Lot Coverage: /� �t� <br /> Gradin�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin� File: � Resolution: /# Resolution Date: <br /> Shoreland Districc: <br /> � • Av�. Setback: Bluff Setback: Lot�overa;e: <br /> N- Ezistin� Proposed <br /> Hardcover: 0-75 <br /> 7�-2�0' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes \o Date of Council Approval: <br /> RE1�1AR�iS (in house): <br /> 7 <br />