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� CHECK OFF LLST FOR ISSU�iCE OF PERI`ZITS <br /> FOR OFFICE USE ONLY <br /> . �DDRESS OR LEGAL: x /' f� � ,< �� ; ',,/ <br /> PID: ,-�- ��- _ - , �,�,,�a� <br /> DESCRIP'I'ION OF WORK: � != ''� <br /> ZOiVI�i 1G REVIEW BY: DATE APPROVED: (o -3� �� <br /> BUII.D�tG REVIE`V BY: DATE APPROVED: � - 3 - g� <br /> ---------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT <br /> Yes No <br /> PL�� ��Ew YeS ��o SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �� SITE I�i tSPECTION <br /> Number of SAC Units OTHER (specify) �N-___�___ _ <br /> --------------------------- <br /> ZOt�1I��G CHECK LIST Zoning District: L2 ' 1 A Shoreland District : V.�S <br /> Fire Department: Post Off . ch 1 Distr� <br /> Lot Area: Sq.ft. Acres <br /> �d `..� � Depth <br /> Survey Submitted: Yes pL No Date of Survey: �- ZZ- '°l5 <br /> Proposed Setbacks: � � ` <br /> Front (L.ake): � + Right Side: '�' <br /> Rear (Street): 3��� �" I.eft Side: �� � <br /> ?,djacent S[ruccures: �� <br /> � �- Wetland: �tl /A <br /> Buildin� Heieht: Def. Hgt. /��� Peak H�t. /�� <br /> Av�. Setback: <br /> Bluff S back: t Coverage: <br /> Existin Pro sed <br /> Hardcover: 0 75 <br /> 7 -2 <br /> 50-5 ' <br /> 00-1 <br /> Hardcover Vari e Requ ed: Yes ;�'o ate of Council pproval: <br /> Gradins: Staff pproval te: By Council A proval Date: <br /> Sepdc: Staff A proval Dace Y� <br /> Zonin; File: # Resolution: .' Resolution D e: <br /> RE�'�ZARKS (in house): � <br />