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.• -�. <br /> CHECk OFF LIST FOR ISSUA�`CE OF PERtiITTS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEG:�L: ��f 6� 5����-�"� PID: <br /> DESCRIPTIO\ OF «-OR.�: �� 6"' _ <br /> ----------------�_-------- <br /> ZO\�G RE`�`V B�': (� 0 ( ��w,�— _ DATE APPROVED; (z-i�- 5 s <br /> BL�,DL\G RE�ZEtiV BY: iv l.� DATE APPROVED: <br /> ------------------------ <br /> FEES TO BE C�L�RGED: y�isc. Fees Calculated By: <br /> s�b,.� <br /> PERti1IT YzS �� �o <br /> y o � SEWER CO��ECTION <br /> PL:�� REVIE�� Yes WAT'ER CONi�`ECITON <br /> ST:�TE SURCH�RGE YzS '-'jo <br /> Iv VESTIG:�TIO�i FEE Yes No PARK FEE <br /> SAC Yzs No SITE INSPECTION <br /> Number of S�C Unics _ OTHER (specify)_ �_ <br /> ---------------------------- ' <br /> ZO`L�G CHEC� LIST Zonilla DtStli�i: <br /> Shoreland Discrict : <br /> , ��� <br /> � Posc Office: School Discrict: %� <br /> Fire Departmen[: � i <br /> � , / ; <br /> ; AEres Width j i Depth <br /> Lot�.rea: Sa.n. ; � <br /> ; <br /> � �,ro Date o�Survey: � � <br /> Survey Suomicted: Yes T_ <br /> / <br /> ;' <br /> Proposed Setbacics: � <br /> Fronc �Lake): � Ri�ht Side: , i <br /> Rear (S�ree�): Lert Side: <br /> .-�djacenc Scructuces: Wetland: <br /> Building Heig.ht: Def. H;t. _ Peak H,t. � � <br /> i <br /> Av�. Secback: <br /> Biuif 5etback: _Lot Covezage: <br /> Exiscing % Proposed . <br /> Hardcover: 0-75' <br /> 75-Z50' <br /> 250-�00' <br /> 500-1000' �� <br /> / � �� <br /> Hardcover V�riance Required: Yes No Date of Council ?�pproval: <br /> Gradin�: Scatf ?�pproval Dace: By: Council .�pproval Date: <br /> Szp[ic: Scaif :�pproval Date: By: <br /> Zaain� File: n__ Resoiuiion: n Resolution Daze: <br /> RE.�IARKS (in house): c N �-�-+�y.► r�c�.o�-e S� s q <br /> r�o �� L� v�.. .T S — <br /> P-e2 7�-R= ��s �'•a. <br /> 26 <br />