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� CHECK OFF LIST FOR ISSUAlYCE OF PE.R1tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �L�i o s H v�v� v.�o 0 <br /> PID: <br /> DESCRIPTIONOF 6vO.RK: lve� 2� — <br /> --------------------------------------------------------------------- <br /> ZOtYING RET�IEYi�BY: � _ DATEAPPROVED: io -�s-�y <br /> BUILDI[YGREVIEWBY: DATEAPPROVED: �o-rs- oY <br /> ------------------------------------ <br /> FEES TO BE CHARGED: tLlisc. Fees Calcz�lated By: <br /> PERII�IIT Yes ✓ No <br /> PLAN RE UIE bV Yes f No SEYVER CO�ViVECTION <br /> STATE SURCHARGE Yes �/ tVo tiV�iTER COtVYECTIOtV <br /> I��/VESTIG.4TX0[V FEE Yes [Vo PARK FEE <br /> SAC Yes No SITE tNSPECTIO�V <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------- <br /> ZOrYING CHECb'LIST Zoriing Disd•icc: (r2• �C- <br /> Fire Departmerrt: Post Off ce: Sc1Roo1 District: _.. <br /> ��.o6a � <br /> Lot,�tren: Sq.J't. flcr-es . 3°� 6Vidth gU- $3 Depth <br /> Scu-vey Subrriitted: Yes ot No D�te of Scuvey: b- �/- ��l <br /> Proposed Setbacks: , <br /> Frenc(Lake): g� '— Rigl:t Sicie: Io` �' <br /> � <br /> fkm�(Stf•eet): 6� �' Left Side: 1 S <br /> Adjncent Stre�ctures: �✓//� b�etland: <br /> Bcti[ding Heigl:t: Def. Hgt. �D _ Peak Kgt. 3 ig•� 5 <br /> Lot Coverage: ��`�• 7 <br /> Gracting.• Staff Approvc�!Date: �0-Z 7 � v�/ By:� +T in Council Approvaf Date: <br /> ���� <br /> Septic: Staff Rpproval Date: N I� BY� <br /> Zoni�ig File: # o�{•300 5 Resolutio�z: # Resolution Date: 6•Z���Y <br /> Slioreland Dish•ict: �v,PS _— <br /> Avg. Setbnek� d./c Bluff Setbc�ek: /✓//� Lot Coverc�ge: 1�! 7 <br /> Ecisting Proposecf <br /> HRr•dcover-: 0-7.i' O O <br /> 75-250' 33 <br /> 250-500' <br /> 500-!000' <br /> ffardcover T/ariance Required: Yes� No Date of Co��ncil Approval: 6- Z�O'y <br /> ItE11�lARXS(in Jtouse): <br /> 31 <br />