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, <br /> . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERc11ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 13`i2- i2ESri' Po�n�r C��tc.� <br /> PID: <br /> DESCRIPTION OF YVO.RK: o r �s� tLe r4-�2. <br /> -------------------------------------------------------------------------------------------------T-------------------- <br /> ZONING REVIEYV B X: iGt/( ��L�, GEO DATEAPPROVED: rd •ZI-�to <br /> BUILDItYG REVIEW BY: GY� vwlA� DATEAPPROVED: �2r-o� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FE£S TO BE CHARGED: Nlisc. Fees Cc�lcaclatecf By: <br /> PERII�IIT Yes_� No <br /> PLAN RET�IEyV Yes � tVo SEYYER GON[VECTION <br /> STATE SURCH.4RGE Yes � 1Vo ' tiVATER CO[WECTION <br /> INVEST.£GATIONFEE Yes 1Vo PARKFEE <br /> SAC Yes tVo SITE NSPECTION <br /> Naci�iber of SAC Uraits OTHER (specify) <br /> ZO�YING CHECh'LIST Zor�in;Disn•icr.• /V O <br /> Fire Deparhnent: Post D�ce: Schoof Dish•ict: _., <br /> Lot,�lrea: Sq.f't. .�lcres GVidth Depth <br /> Sicrvey Subntittecl.• Yes No Date of Scuveti�: <br /> Proposed Setbacl,s: <br /> Fror:t(Lalce): Right Sid <br /> Rear(Street): ' Left Si�( : � � <br /> Adjacent Struct�u•es: Wetland: <br /> Building Height.• Def. Ngt. Peak Hgt. <br /> Lot CoverRge: <br /> Gracfing: Staff Approval Date: By: CoT�ncil Approval Date: <br /> Septic: Staff;�Pprova!Date: , ' V `� ��` d� . BY; W " ' ' <br /> Zoning File: # Resolutior:: # Resolci�ion Date: <br /> Shoreland Distr•ict: <br /> Avg.Setback: Blu etback: Lot Coverage: <br /> E.risting Proposed <br /> Harctcover: 0-7�' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vc�riance Reqccired: Yes No Date of Cocuzcil�tpproval: <br /> REIVIARKS(in hotcse): <br /> 31 <br />