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? . . .... <br /> . CHECb: OFF LIST FOR ISSUAIvCE OF PERl��1TTS <br /> FOR OFFICE USE QNLY <br /> �.DDRESS OR LEGA.I-: <br /> z`�� t C:�l � ,� L�.� .� �c" �!� �✓� <br /> PID: <br /> DESCRIP'TION OF WORK: �- :' . -! - <br /> ZO�'G REVIEW BY: � . __ DATE APPROV�D: ! -L� � � <br /> BUII.DING REVIEW BY: � - C C �-_._. DATE APPROVID: l Z� 4� <br /> FEES TO BE CHAKGED: Misc. Fees Calculated By: <br /> PER1vSIT Yes � �a <br /> PL� ��w Yes r� �o SEWER CONNECTION <br /> STATE SL`RCHARGE Yes `� No WAT�R COivNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units _ OTHER (specify) <br /> --------- <br /> ZO�tING CHECK LIST Zoning Discricr. �o - �� Shoreland Disuict : �--� � — <br /> Fire Department: /1/U C(+�?��ost O�ce: <br /> �" School Diszricc: <br /> I.,oc Area: Sq.ft. t�1,� S v_Acres � YS' �'id� � � � Depch <br /> Survey Submitted: Yes � No Date of Survey: �[)�Ic -�`5 <br /> Proposed Setbacks: <br /> �$t ��e�: (�U � '� Ri�ht Side: /� S <br /> Rear (Stree�): /� <br /> /A- Lefr Side: �`��'� r'� <br /> Adjacent Structures: ������ Wetland: t^�I� <br /> Buildi.n� Heighc: Def. Hgt. /J��" Peak H�t. <br /> Avg. Setback: lJ�� �`� Bluff Setback: ✓� 1 � Lot Coverage: N �¢ <br /> Ezisting Proposed <br /> Hardcover: 0-75' — <br /> 75-250' ry�,Q l=�l..0 <br /> 250-500' — <br /> 500-1Od0' — <br /> � Date of Council Approval: <br /> Hardcover Variance Reouired: Yes i o o� <br /> Grading: Staff Approval Da[e: <br /> ,�f ��%. gy; Council Approval Dace: <br /> Septic: Staff Approval Date: /" {� By� <br /> Zoni.ng File: n /� `� Resolution: # Resolution Date: <br /> � - <br />�: ., <br /> RF.,.'ViARKS (in house): <br /> , <br />