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CHECK OFF LIST FOR ISSUAIVCE OF PER1tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 313� Cb45� G��c� <br /> PID: <br /> DESCRIPTION OF Gl�O.Rh': R���'G�- <br /> -- - --------------------------------------,-,/-� - - - - - - - - - - -------------------- <br /> ----- --------------------D.A TE APPR O VED: /- Y- o S <br /> ZONING RE vIE YV B Y: UG�— <br /> BUILDIIVGREY7EWBY: � DATEAPPROC'ED: /- `f -05' <br /> ----------------------- <br /> FEES TO BE CHARGED: htisc. Fees Calcaclated By: <br /> PER.��IIT Yes ✓ No <br /> PLA�V REVIEGV Y"es �/ No SEYVER COIVNECTIO�V <br /> STi�TE SURCH.4RGE Yes � No YVATER CO�Vt1/ECTIOtti' <br /> I�VVESTIGATI01v FEE Yes No ✓ PARK FEE <br /> SAC Yes No �/ S�TE NSPECTION <br /> tVcc»26er• of SAC U�iits OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> T_ONItYC CHECK LIST zor�irig Disrricc: /1/v Gf�i4rV�-{ <br /> Fire Departrrient: Post Office: School D(strict: ___ <br /> Lot.�(reR: 5q.ft. Acres GYidtlt Deptlt <br /> Swvey Su6niitted: Yes No Date of Suivey: <br /> Proposed Setbac(;s: <br /> Front(Lalre): Right Sicie: <br /> Rear•(Sfreet): Left 5ide: <br /> Adjacent Sh•uc[�u•es: Wetlancl: <br /> Buildiirg Heiglit: Def. Hgt. Peak ffgt. <br /> Lot Coverage: � <br /> Grc�ding: Staff.4pprovccl Date: � By: Coce�icil Appirova! Date: <br /> Septic: Stnff,4pprot�al Date: BY� <br /> Zorting File: # Resolutio�2: # Resolc�tion Date: <br /> Shoreland Dish•ict: <br /> Avg. Setbnck: Blc�ff Setback: Lot Coverage: <br /> Existt�ig Proposed <br /> Har•dcover•: 0-7�' <br /> 75-2.i 0' <br /> Z50-500' <br /> 500-1000' <br /> Kardcover Yariance Reqc�ired: Yes No Date of Coeuacil�Ipproval.• <br /> RE11�fARKS(in hotcse): <br /> 31 <br />