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� CHECK OFF LIST FOR ISSUANCE OF PER1v.fITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z+ �� ACS����'^' w�y <br /> PID: <br /> DESCRXPTIO:V OF W�O.RK: 1Z,cvw�oec. (�,aso n�� F-�N�s N <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONINGREVIEYVBY: DATEAPPROVED: G -Z)-�6 <br /> BUILDItVG,REVIEW BY: DATEAPPROI'ED: �•�� - o� <br /> ---------------- --- <br /> FEES TO BE CHARGED: Ntisc. Fees Calculated By: <br /> PER1I�IIT Yes� No <br /> PLAN REVIEGV Y"es � tVo SEYVER CONNECTION <br /> STATE SURCH.4RGE Yes � �Vo � tiVATER CON�VECTION <br /> IIVVESTIGATI0IV FEE Yes [Vo PARK FEE <br /> SAC Y"es [Vo SITE NSPECTIO�V <br /> Nlcinber• of SAC Urzits OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZOIYIIYG CHECK LIST Zor�ing Discricr: <br /> Fire Deparhnertt: Post Offcce: Scliool District: ___. <br /> Lot.�(rea: Sq.f't. Acr•es �t�idth Depdt <br /> Su�vey Subncitted: Yes No Date of S�uvey: <br /> Proposed Setbacks: <br /> Fr•oru(Lake): Rig/zt Sicle: <br /> Rear(Street): Geft Side: <br /> Adjaceret Sh'uc[eu•es: Y�edand.• <br /> Buildi�rg Height: Def. Hgt. Peak Hgt. <br /> Lor Cavei•age: <br /> Gracfing: Stczff Approva!Date: By: Coc�ncil Apprroval Dccte: <br /> � ���Septic: Staff,4pprovaf Date: 1 BY� <br /> Zoaing File: � Reso(ution: # Resolt�tion Date: <br /> Shoreland Dish•ict: <br /> Avg. Set6ack: Bl��ffSetback: LotCover•age: <br /> Elisting Praposecf <br /> Harcfcover: 0-7�' <br /> 75-?�0' <br /> 250-500' <br /> 500-1000' <br /> Har•dcover f/nriance Reguired: Yes No Date of Cocuacil�pproval: <br /> R.E�I�IARKS(i�i lzotcse): ��`•�.h.�� A-�v/. �rzN�s - �po-� an�e <br /> 3i <br />