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CHECk OFF LI:�T FC'R ISSti�rCE OF PERtiIITS <br /> FOR OFFICE USE ONLY <br /> :�DDRESS OR LEG:�L: !3g� G���G '--pID: <br /> DESCRIPTIO\ OF �`'ORI�: G�6�= '�'�i5��` <br /> ----------------____-------- <br /> ZO`�G RE«ji' BY: 1� DATE �PPROVED: <br /> BL�.DL\G RE«tiV BY: <br /> DATE APPROVED: i o- 3� ' S � <br /> - -------------------------- <br /> FEES TO BE CI��RGED: Misc. Fees Calculated Bv: <br /> PER�IIT YzS ✓ �o <br /> PL�v RE`ZE�V Yes No '� SE`�TER CO��NECTION <br /> ST�TE SLRCH:�RGE Yes � No WA� CONi�TECTION <br /> NVESTIG�TIOti FEE Yes No PARK FEE <br /> SAC Yes No SITE 1NSPECTION <br /> Number or S:�C Unics _________ OTHER (specify) _�_MY_____ <br /> --------------------------------- <br /> ZO\l�G C CI� LIST Zonin;Dis�rict: Shoreland District : <br /> Fire Depanmea�: <br /> Posc ffice: Scnooi D' nct: <br /> Lot Area: Sq.n. <br /> �cres Width Depth <br /> Survev Suomicted: Yes <br /> �,ia Date of urvey: <br /> Proposed Setbac5cs: <br /> Front �L '� ): Righc Side: <br /> Rear (S[re t): Lett Side: <br /> .-�djacea[ tn:ctur : We land: <br /> Buiidin� Heiahc: ef. H�t. <br /> Pe Hgi <br /> Avg. Se[back: Bluff etback: Lot Covezage: <br /> Exist� � Proposed <br /> � <br /> Hardcover: -��' <br /> 75-250' <br /> �50-�00' <br /> 500-I000' <br /> Hardcover Vari ce Required: Ye No a[e oi Council Aoproval: __ <br /> Grading: Star1 �pproval Da[e_ By: Council �pproval Date: <br /> Septic: Stait . pproval Date: By: <br /> Zo�o File: ., Resolu �on: ,; Resolution Date: <br /> �;�,�5 (in house): <br /> 26 <br />