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j � <br /> • ' CHECk OFF LIST FOR ISSUAI�ICE OF PERti1ITS <br /> F� OFFICE US� ONLY <br /> a�DRESS�RLEG:�L: i`� 25 a.�� ,��ti�� h� PID: /D -il� -,,1 _3 �� G�l 7 <br /> DESCRIPTIO\ OF «'ORIi: �ct�d,'��"� ' f-��t, " l"� /t��n'� <br /> ZO\�1 G RE`��V BY: � C�- DATE APPROVED: `f ��- �r�� <br /> BL�II.DL\G REv�tiV B Y: �v.z.,._ DATE APPROvED: �f- z.—�i.c.:> <br /> FEES TO BE CI��RGED: Misc. Fees Calculated By: _ <br /> PER�IIT Yes � �0 <br /> PLAN REVIE�� Yes +� No SEtiVER CONNECTION <br /> STATE StiRCH:�RGE Yes �/ No RIATER COi�NECT'ION <br /> INVESTIG:�TIO�1 FEE Yes No �� P�K FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of S�C Unics __________ OTHER (specify) _ <br /> ----------------------------- � <br /> ZO\�G CHECK LIST Zoning Discrict: Li2-f✓� Shoreland District : y'��S <br /> Fire Deparcment: ���z�4� <br /> PoscOffice: �ir4v�-�►'� SchoolDiscrict: �-��ti-%�- <br /> Z35� <br /> Lot Area: Sq.ft. ��5,`iC�`� _Acres i ,ZZ Width �' �U�= Depch `�(1� �4��= <br /> Survey Submitted: Yes �_ <br /> �,to Dace of Survey: 3 ��'+ - `t G, <br /> Proposed Se�backs: � <br /> Fronc (Lal:e): � ��' Ri�h[ Side: t 3� �� Z- rv <br /> Rear (Street): w « Left Side: � � 5 <br /> Adjacen[ Structures: t�Tr����-�� Wetland: N ifa <br /> Buildin� Heighc: Dei. Hgt. L' � Peak H't. c>•ic. <br /> Avg. Setback: C�• � <br /> Bluff Secback: N/!� L.at Covera�e: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' O•I C <br /> 250-�00' <br /> �00-1000' <br /> Hardcover Variance Required: Yes No _L Date of Council Approval: ______ <br /> Gradin�: Starf �Dproval Date: /V�/� By: Council �oproval Date: <br /> Septic: Staff �pproval Da[e: �' ' <br /> Z-7 t, By: (.i.�t.�� C�r= L�t:c.�cr r <br /> Zonin� File: ; -- Resolution: � - Resolucion Date: <br /> KE:�IARKS (in house): <br /> 26 <br />