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, • . �w. <br /> •' � CHECFi OFF LIST FOR ISSUr�iCE OF PERi�gI'S <br /> FOR OFFICE USE ONLY <br /> ?,DDRESS OR LEGAI.: �� �3� ti���n`��� �'`��- <br /> ���; <br /> PID: � �� � �� SS 5 ;�4�2> <br /> DESCRIP'TION OF WORK: <br /> Z0�1G REVIEW BY: ^,,..: _ DATE APPROVID: �2.��-�'� � - <br /> `7 6 <br /> l DATE APPROVID: '1 -� -5,� <br /> BUILDING REVLE`Y BY: �1:,_.. ` <br /> FEES TO BE CHARGED: Misc. Fees Calcular.ed By: <br /> PER'vIIT Yes � �o <br /> P�N ��� Yes V No SEWER CONNECTION <br /> WATER CONNECfiION <br /> STATE SL�RCHARGE Z'eS � No pARK FEE <br /> INVESTIGATION FEE Z'eS No S� �SPECTION <br /> SAC Yes <br /> Number of SAC Units _______ OTHER (speciiy) <br /> / )�� Shoreland Disuicc : �� `'= <br /> ZO�G CHECK LIST ZOIllIIa D1SLI7C[: �l`-�� <br /> Fire Department: <br /> Post Offis,e: � oo District: <br /> � � �� — <br /> Loc Area: Sq.ft. � Acres � � �� Vd!id i � Depth <br /> Survey Submitted: Yes <br /> No ,x Date of Survey: <br /> Proposed Setbacks: � �p <br /> Fronc (Lake): �� Right Side: <br /> Rear (Street): Left Side: � <br /> Adjacent Stru res: W ��d' �, <br /> Buildin� Height: Def. H . <br /> Pe H�t. ' <br /> Av;. Setback: I Bluff Setback: ! L,ot Coveratge: <br /> Ezisting Proposed <br /> Hardcover. �-75' ; <br /> 75-250' � <br /> 250-500' — � <br /> 500-1000' ----- <br /> ,____ <br /> � Date of Council Approval: �_ <br /> Hardcover Variance Required: Yes i o <br /> Grading: Staff Approval Date: BY� <br /> Council Approval Dac�: <br /> Sepdc: Staff Approvai Date: By: ` <br /> � <br /> Zoni.n; File: � Resoluuon: 7�� Resolution Date: -- <br /> � <br /> ��ViARKS (in house): <br /> k <br />