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' CHECK OFF LIST FOR ISSUA1vCE OF PERI��IITS <br /> FOR OFFICE USE ONLY <br /> �DDRESSORLEG:�L: Y � sH�'dti�iOO� —PID' <br /> DESCRIPTIOti OF ���ORFi: �e c��a-T► v-� j 'Z''-� '�'���"� /�1' �'Q ��G <br /> ---- ------------------------ <br /> ----------_ <br /> ZO\'I\G RE`��ti BY: Nl� DATE APPROVED: <br /> BL�,DL1G RE�'IE`V BY• r, , DATE APPROVED• 8 -S -S� <br /> - --------------------------- - <br /> -------- <br /> ----—------------- y------- - <br /> FEES TO BE CH�RGED: Misc. Fees Catculated B <br /> PER�IIT Yes r/^ No <br /> PL�� ��,IE�� YeS �/' �o SEWER CON�tECTION <br /> STATE StiRCHARGE Yes --� No WA'TII2 CO�'ECTION <br /> INVESTIG�TION FEE Yes No �/' PARK FEE <br /> S:�C Yes No �s� INSPECTION <br /> Number of S�.0 Units _ OTHER (specify) <br /> -------------------------- � <br /> ZO\�G CN,EC� LIS ZoninQ District: Shoreland Distric . <br /> Fire Department: <br /> Post Office: Sch ol District: <br /> Loc Area: Sq.ft. <br /> Acres Width Dep[h <br /> Survev Submicted: Yes <br /> �,To Date of urvey: _ <br /> Proposed Setbacks: <br /> Front S Lai:e : Ri� Side: _ - <br /> � ����� . <br /> Rear (Str t): eft Side: ��� � <br /> Adjacea S[ructures: Wetl. � <br /> Buildin; Hei� : Def. Hgt. Peak h <br /> Avg. Secback Bl ff Setback: ..overage: <br /> istin� Proposed <br /> Ha:dcover: 0-75' <br /> 75-Z50' <br /> ?�0-�OQ' <br /> �00-1000' <br /> Hardcove�r Variance Required: Yes No Date of Council Approval: <br /> Gradin�; Starf ?�pproval Date: ' By: Council Approval Date <br /> Septic: StaTi Aoproval Date: BY� <br /> Zonin� �ile: � Resolucion: � Resolucion Date: <br /> ��IARKS (in house): <br /> 26 <br />