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� CHECb' OFF LIST FOR ISSUA!�TCE OF PERtiSITS <br /> _ FOR OFFICE USE ONLY � . <br /> A�DDR�SS ORLEGAL: y�gp /UpRTF4 /a2vin U2 <br /> PID: <br /> DES CRLP'I'ION OF�ORK: ELK <br /> . <br /> ZOr'L�G REY�ti�%BY: DATE APPROVED: �-r'� 2 -c�( <br /> BUILDI�i TG REY��BY: D�TE APPROY�D: �(- i -c�f <br /> FEES TO BE CH.4RGED: Niisc. Fees Calcula[ed By: <br /> pERIvIIT Yes � No :� <br /> PLAN REVIEW Yes v' No SEWFE�CONNECTION <br /> STATE SURCHARGE Yes ,�No ti�ATERCONNECI'ION <br /> L'�i,'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEC"ITON <br /> Number of SAC�Units OTHER (specify) <br /> ZO�Z�.�IG C�CK LIST zoning Districc: R R-1� <br /> Fire Department: �o�N/� Post Ofuce: /�i�N,/� Sc�ool District: t��-e STL�7N�� � <br /> L,ot Area: Sq.ft. �-l3,��I Acres � � Widch f�(0 Depch 3�1•� 5 <br /> Surve;f Subr.itted: Yes� No Date of Survey: G•ZZ-�b �'v �-��`=) <br /> Proposed Setbacks: <br /> � � <br /> F.ont (La.ke): �"�`.� Ri�hc Side: 25 <br /> Rear (Screet): �(� Left Side: __�2.' <br /> Adjacent Structures: ��� � �Vetland: /1� �� . <br /> Buildin� Hei�ht: Def. H�t. ��/�- Peak H?t. /✓/A- <br /> I.oc Covera�e: N /� <br /> Gradin�: Scafr Approval Date: ^ By: Council Approval Date: <br /> Septic: Staff Approval Date: �-- By: <br /> Zoaing File: � --- Resolucion: : — Resolution Date: � . <br /> Shoreland District: /U(7 <br /> Av�. Setback: Btufi Setback: LotCocera�e: <br /> E���j Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> ti0-500' -- <br /> 500-1600' <br /> Hardcover Variance Required: Yes No Date of Council Aoproval: <br /> gEl�iA_RhS (in house): <br /> 7 <br />