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CHE CK OFF LIS T FOR ISS UANCE OF PEI�tiZITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31`'�s S»n�"''�-�—�`"��= .�'Q-- <br /> PID: <br /> DESCRIPTIO:V OF 6itO,RK: Fn�N•�a-na� '� *��`�= p�`�- <br /> ------------------------------------ --------------------------------------- - <br /> ZO[YINGREVIEtVBX: C�-- DATEAPPROVED: /o •i8 -�Y <br /> BUILDItYGREVIEWBY: .DATEAPPRO�'ED: �c�-Z�-�� <br /> -------------------------------- <br /> FEES TO BE CHARGED: h•Iisc. Fees Calccclated By: <br /> PERI�IIT Yes ✓ No <br /> PLAN RE vIE GV Yes '� �Vo v SEYVER GONiVECTION <br /> � STATE SURCHARGE Yes � tVo tiVATER COtWECTlOtV <br /> ItVVESTIGATlON FEE Yes tVo PARK FEE <br /> SfLC Yes No SITE [NSPECTIOIV <br /> Nticmber of SAC Units O�'HER (specify) <br /> ------------------------------------------------------------------------------------------------- <br /> ZONI�YG CHECh'LIST Zorcing Disd•ict: N� f�lr4r/ <br /> Fire Depni•hnerrt: Post Off ce: School District: _.. <br /> Lot.�trea: Sq.ft. Acres Widd: Depth <br /> Scovey Subniitted: Yes No Dctte of Su�vey: <br /> P�•oposed Setbncks: <br /> Fract(Lake): Right Side: <br /> Renr(Sh•eet): Left Side: <br /> Adjacent Structiu•es: G�etla d: <br /> Buildi�ig Heiglit: Def. Hgt. Peak gt. <br /> Lot Caverage: � <br /> Gracfing: Staff Approvc�!Date: B, • Council�lpprovnl Date: <br /> Septic: Stajf.�pprova!Dc�te: B � <br /> Zatirig File: # Resolutio�:: # Resolcztion Date: <br /> SJ:oreland Dish•ict: <br /> Avg.Setback: Bluff Setbacl• Lot Coverc�ge: <br /> E�isting Proposed <br /> Hardcover•: 0-7�' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Var•imtce Reqacired: Yes No Dccte of Co�incil Approval: <br /> RE1I�IARKS(in liotcse): <br /> 31 <br />