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1 <br /> �CHEC]K OFF i.IST FOR ISSUANCE OF �ERMiTS <br /> ' FOR OFFICE USE ONLY . <br /> ADDR�SS OR LEGAL: 3 a rV�`I��-�°f c �•,.�.,,� <br /> PID: <br /> nEscx�o�oF woRx: �-��ZZ ��tt�acl�� �Y��w <br /> ---------------------------- <br /> ZO�tG REVIEtiV BY: � ^ (�,ti�(, __.._�_ DATE APPROVED: - G •06� <br /> ' I�ATE APPROVED: q- b•�6 <br /> BUILDIN'G REVIE�'� BY: . . <br /> k'EES TO BE C�IA.RGEA: Misc. Fees Calculated By: <br /> pEg�T Yes ✓ No <br /> PLAN REVIEtiV � Yes ✓ No SE�4VER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No i/ PARK FEE <br /> SAC Yes No -�'� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) . <br /> ------------------ �� <br /> ZONI�IG CHE.CK LIST Zoning District: � . <br /> Fire Depaztment: Post Office: _ School District: • � <br /> Lot Area: Sq.ft. �� ��� Acres (.Q� � � Widch Depth <br /> Survey Submitted: Yes IVo � Date of Survey: <br /> Proposed Setbacks: � • : <br /> Froat(Lake): li�' � Riaht Side: s(��-1•S . <br /> Rear(Street): 6 00 ''� Left Side: `�l ZO <br /> NOT ��oJ 14/g <br /> Ad;acentSt:uctures: yb� '�-0 SH�� Wetland: ,nf1A �s—o y�q�t,�f <br /> Suilcling Height: Def. Hgt. b .Ic Pea.l:Hgc. — <br /> Lot Covera�e: N � 'A <br /> Grading: Staff Approval Date: N � 14 BY: Council Approval Date: ' <br /> Septic: Staff Approval Date: ��' ��'�1U �Y� � <br /> Zoaing File: � '—' Resolution: �f _ Resolutioa Date: <br /> Shoreland Districc: ,�� �t Cove�age: <br /> Av�. Se[back: Bluff Setback: <br /> Eustin� Proposed <br /> 0 <br /> Hardcover: 0-7�' <br /> 75-250' <br /> 2�0-500' <br /> 500-1040' <br /> Ha.rdcover Va.riance Required: Yes No Da�z of Couacil Approvz: <br /> RE�L�S (in house): <br />