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� � <br /> CHECK OFF LIST FOR ISSUANCE OF PE,R�IIITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: �S�S C� 121� � <br /> PID: <br /> DESCRIPTIONOF 6�ORK: F�R�e dA�,�+N+c� !Lt'����C <br /> ---------------------------------------------------------------------------------- <br /> ZO[VI�VGREVIEtVBY: _�/A DATEAPPROVED: <br /> BUILDI1vG REYIEYV BY: DATEAPPR06'ED: !o•�.7•oy <br /> -------------------------------------- -- <br /> FEES ?'0 BE CHARGED: Nlisc. Fees Ccciccclatecf By: <br /> PERII�IIT Yes� 1�'0 <br /> PLAN REVIEGV Yes �Vo-� SEYVER COiVtVEGTION <br /> STATE SURCHARGE Yes ✓ 1Vo tiV�1TER CO�Wi ECTIO�V <br /> ItVVESTIGATIOtV FEE Yes �Vo PARK FEE <br /> S�IC Yes �Vo SITE NSPECTIO�V <br /> Nicnzber of SAC Urzits 01'HER (specify) <br /> -------------------------------------------------------------------------------- <br /> ZO�YING CHECb'LIST Zoriing District: fi� <br /> Fire Deparhnerrt: Post Off ce: Scfcoof Distr•ict: _.. <br /> Lo�.4rea: Sq.f't. Acres Widtl� Depth <br /> Scvvey Subncitted: Yes No Date of Sc�rvey: � <br /> P+•oposed Setbacks: <br /> Frortc(Lalce): Right Side: <br /> Rem•(Sh•eet): Left Side: <br /> Acljacent Str•uctcu•es: Wetlan <br /> Buildilrg Helglit: Def. Hgt. Peak H t. <br /> Lot Coverage: � <br /> G�•ading: StaffApprovctlDc�te: By Council�lpproval Date: <br /> Septic: Stnff Appr•ova!Date: B � <br /> Zating File: # Resolutiat: # Resol�ition Date: <br /> Shoreland Dish•ict: <br /> Avg. Setbnck: Bluff Setbnc : Lot Coverage: <br /> E�istin; Proposed <br /> Hardcover: 0-7�' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Var•iance Requi�•ed: Yes No Date of Cocciacil Approval: <br /> REtI�IARKS(in lioccse): <br /> 1 <br />