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, , � � � CHECh. OFF LIST FOR ISSUA��'CE OF PERti1ITS <br /> FOR OFFICE USE OiSL.Y . ' . <br /> ADDRESS OR LEGAL: 32a o /vo21-� � �-b��= �D� — <br /> PID: <br /> DESCRIP'I'ION OF�ORK: !�R�/�6 t� !�-�lJi n U� <br /> , <br /> ZOti�'G REYD�ti�+BY: � D�TE APPROV�D: � � 2� - v r <br /> BUII.�D .�i TG REY�� BY: . DATE A.PPROY�D: �• i-t =v r <br /> F'EES �'O BE CIiARGED: Niisc. Fees Calculaced By: <br /> pEgMI'I' Yes c/ No �� <br /> pLp,N REVIEW Yes � No SES�ER CONNEC'TION <br /> STATE SURCHARGE Yes ,/ No �ATERCOiVNECI'ION <br /> I'�i IVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEI�i tSPEC"TION <br /> Number of SAC�Units OTHER (specify) <br /> ZOti`L,IG CHECK LIST Zonin�Districc: �2-�/�' _ . <br /> Fire Department: ,�� G4��C: Post Ofuce: Coiv �.t:; Sc�col Discrict: �/2nivo� � <br /> Lot Area: Sq.fr. Z��S�a Acres � Widch �� � �' DeP� � �S <br /> Surve;� Subritted: Yes�c No Date of Survey: N–/�' d� <br /> Proposed Se�backs: � <br /> �;-a.at (La.ke): � 3S Ri�ht Side: � 7� <br /> R.�r (Screet): 3S0` ± Left Side: I 0� <br /> Adjacent Structures: �4-TTr�c�t t-c�� �Vetland: �!//� • <br /> Buildin� Hzi�h[: Def. H�c. 0 �l� Pe��H?t. o-C� <br /> I,oc Cover2�e: — <br /> Gradin�: Staff Approval Date: — By: Council Appro�al Date: <br /> Septic: Staff Approval Date: — By: ' <br /> Zoain� File: n — Resolution: � Resolutioa Date: . <br /> Shoreland District: �.,-e 5 <br /> Av�. Setback: 0.1� Bluf[Setback: ��/1 L��Co�'em�e: <br /> E���� Proposed <br /> Hardcover: 0-7�' '2q <br /> 7�-250' Z 3 <br /> 2�0-500' �`3.6► <br /> Sd0-1000' - <br /> Hardcover Variance Required: Yes No Dac� of Council Aoproval: <br /> REI�IA.R�;S (in house): <br /> 7 <br />