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CHECK OFF LIS'I` FVR ISSSE ONL 4F PERtiIITS <br /> FOR OFFICE U <br /> �DDRESS OR LEG:3L: i L2 S sl�'��`'�� `�2 PID <br /> DESCRIPTIO\ OF j�'OR�: �72��'? �"r�°'� —�'Z'� s�, r�' <br /> ------------ --------- N(/,� DATE APPROVED: <br /> ZO�Zti G RE«j`' B� : DATE APPROVED: S - i Z � 5�S' <br /> BLILDL�G REj�tiy BY: <br /> FEES TO BE C�L�RGED: l�fisc. Fees Calculated By: <br /> Yes �' No <br /> PERti1IT SEtiVER CO��CTIOi�t <br /> PLAN RE`ZE�V Yes �' �ro <br /> ST:�TE SURCH:�RGE Yes I No WATIIZ CO�.�Ni ECI'ION <br /> �o pARK FEE <br /> IVVESTIG:�TIOv FEE Z'zS S� �SPECTION <br /> S�C Yes �to <br /> OTHER (specify) <br /> tiumber of S�C linits ____ <br /> ----------------------------- <br /> ZO\�G CHEC�i LIST Zoning District: <br /> Shorel District : <br /> Fire Deoart nt. <br /> Posc O�ce: School istric : <br /> Let Area: .n- <br /> Acres � Width Depth <br /> r � <br /> f �io Date of Surv�y: <br /> Survey Su' �tted: Yes � � <br /> Proposed e ac!:s: J <br /> /` ,' � I <br /> ! Ri�flt Side� � <br /> F on �Lai:ej: �— <br /> � �` <br /> ! <br /> err ( cree:): �' Left Side�� j <br /> Wdjaceai\Structures: � <br /> I�,Vetland: � <br /> , �I 1 <br /> Buildin� Height: be�. Hgt. � Peak H,t. a <br /> i �� <br /> Bluff Secback' Loc Covera�e. � <br /> Avg. S��back: � � <br /> i, <br /> � Existin� ;� Pro -- '� <br /> Hardcpver: 0-75�' I` <br /> 75-Z� 0' �� <br /> 250- 00' � <br /> � �00-1 QO' E', <br /> i ' <br /> Har�lcover Variance Re uired: Yes No Date oi Council Approval: ____ <br /> ! gv; Council �pproval D te: <br /> Gr�ding: Staif �pproval Dat : - <br /> Se tic: Staif �pproval Da By: <br /> Zo ' o Fi?e: ;�— <br /> Resol ion: ' Resoiution Date: <br /> RE�LARKS (in house): <br /> 26 <br />