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. . <br /> �CHEC3E�C�FF i,IST FOR ISSUANCE ��'�ERMITS <br /> S OR LEu�AL: �OR OFFICE U5�v� Sfne�r(' ' �r ' <br /> p,IDIRES �' <br /> PID: <br /> �DESCRI�'T�O�i OF WORK: c�c=z <br /> _------ - <br /> ZOY.I�G REVIEtiV BY: N I J� DATE APPFOYED: <br /> . DATE.�:P'PROVED; �- �� �e� <br /> �ULLDING REVIE�V BY: ��CQ.�.�------- • . " <br /> k'EES T4 BE CHARGEU: � Misc. Fees Calculated By: <br /> P��T �es � No <br /> PLAN REVIEtiV '� Yes _� No SE��TER CO�TNECTIOI�1' <br /> STATE SURCHAR.GE Yes �� No �'ATERCONNECTION <br /> INVESTIGATION FEE Yes No —� PARK FEE <br /> SAC Yes No � STI'EIl�TSPECZTOld' . <br /> Number of SAC•Units OTHER (specify) . <br /> 2pi�TG �HE.CK LIST Zoaing Districr.~ t/r/� GK�-/U( � � . <br /> Fire Deparcment: Post OfFice: School District: • � <br /> Lot Area: Sq.ft. Acces ' Width Depth <br /> Survey Submitted:� Yes No Date of 5urvey: _ <br /> Proposed Setbacks: � • : <br /> Front(Lake): Ri�lxt Side: , <br /> Rear(Street): Left Side: <br /> Adjacent Scructures: �Vetland: <br /> auildin�Hei�t: DeE. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Gradind: Scaff App:oval Date: _ By: Council Approval Date: ' <br /> Septic: StafE Approva!Date: � �Y� �V J1. <br /> Zoaln�File: ��_ Resotutioa: n Resolution Date: <br /> Shoreland Distric�: <br /> Avg. Se[back: E!uff 5et5ack: L.otCove2je: <br /> E�sting Propased <br /> H��dcaver: G-7�' <br /> 75-250' <br /> Z�Q-S�.�J' <br /> �CO-1CC�J' <br /> ,- :y . _.�,;_,. <br /> Na�CC.O`:2C C2 R?yL!Ce�: `:2� ,�4 iJi:.:.. V'. �.v��: i-�vr —. <br /> ti�Z 1?� <br /> F.EZLaRhS (.Lnh���e): <br />