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' ` . CAECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> �,'� ' FOR OFFICE USE ONLY , � . <br /> ' ' ADDRESS OR LEGAL: 1'��v 12i�� Ipo��� ��,o <br /> PID: <br /> DFS CRIPTION OF WORK: I?.E rv� �,.� �N � c��c,c..S <br /> . <br /> ZO�'L\'G REYIEti�BY: DATEAPPROV�D: /�-3.6-0� <br /> BUILDING REY��BY: . DATE APPROYED: r�• � •� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pEg1VIIT Yes _� No :• <br /> pI,AN REVIEW Yes �' No SEWER COYi�FECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE. Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZO`1ti G CH�CS LIST Zonin;Dis�icc: L 2- r(3 . <br /> Fire Department: �NI d u N 4 Post Office: In/��o��v✓� School District: w G S'c-�D NI� � <br /> Lot Atea: Sq.fr. .� �L9.�Acres . 3 3 � wid�n I oo Depth !b3•S Z s /9vP <br /> Surve; Sub�.itted: Yes ( No Date of Survey: � �r�„ t5_.�oo <br /> Proposed Setbacks: <br /> Froa[(La.ke): Right Side: � <br /> Rear(Street): Left Side; _ <br /> Adjacent Structures: Wetland: • <br /> �� <br /> ` Buildin� Hei;ht: Def. H�t. Peal:Hgt. _ <br /> Loc Covera�e: <br /> Grading: Scaff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Dace: By: <br /> Zoain;File: # Zb3u Resolution: � '-i5 sZ Resolution Dace: � n•_Z3•o� <br /> Shoreland District: <br /> Av;. Setback. �v[�- Blufi Setback: �! 1/; I.flt Coverage: <br /> E���o Proposed <br /> Hardcover: 0-75' � , ° <br /> 75-250' 4 I.2 <br /> Z50-500' <br /> 500-1000' -- <br /> Hardcover Variance Required: Yes�C.�, No Date af Council Approvai: � D •Z3-�J <br /> gE1�L�.RKS (in house): <br /> 7 <br />