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. ' <br /> CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 3'i�o (3t2c�� L�qN` —— <br /> PID: <br /> DESCRIPTIO:V OF G[�ORh': (::/YT2� �Zoor� <br /> ------------------------------------- ------------------------------------------------------------------------------ - <br /> ZO��'IIYGREI�IEY�BY: ,,._ D.-4TEAPPROVED: l� -zf-oy <br /> BUILDIrVGREVIEWBF': DATEAPPRO6'ED: i�-zti-oy <br /> --------------------------- <br /> FEES ?'0 BE CHARGED: 1L'Iisc. Fees Calca�f�cted By: <br /> PERttiIIT Yes ✓' No <br /> PLAN RE vIE GV Y"es J �Vo SE YI'ER CONNECTION <br /> STATE SURCH.4RGE Yes � ��Io tiVATER COtVNECTIOIV <br /> I�ti'VESTIGATIO�V FEE Yes No P�lRK FEE <br /> S.�C Yes tVo SITE NSPECTIO�V <br /> �Va�»zber� of SAC U�iits OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO[YIl�'G CHECh'LIST Zor�irtg District: G2-�C. <br /> Fire Depa,•hnerrt: Post Of?ce: Sclxool D(strict: __. <br /> Lot.�(ren: Sq.ft. •�13 Aa•es �43.�`70 6Yidth (u0� Depth <br /> Sw-veu Sc�b�rcitted: Yes ldo Date of Su�vey: <br /> Proposed Setbncl;s: <br /> F�•ortt(Lal.e): �� t 2.9 ' Rig/at Side: �6 <br /> Rear(Sh•eei): � Left Side: 3b <br /> Adjacent Structures: A-7'TI4GN� G�etla��d: i✓/� <br /> Buildi�ig Height: -Def. Hgt. U•�� Peak Kgt. <br /> Got Coverage: <br /> Grading: Sraff,4pproval Date: �I/i9 By: Council r1p/�rova! Date: <br /> Septic: Staff,�{pproval Date: � ��' BY'� <br /> Zortii:g File: # Dy-306Y ResolL�tior2: # Resolt�tio�i Dale: <br /> Shoreland Dish•ict: PS <br /> Avg. Setback: �j� Blc�ffSetbnck: /J �� LatCoverage: <br /> E�isti�ig Proposed <br /> Hardcover: 0-7�' I• S' �•5 <br /> 7.5-250' s�vs' sZ-2 <br /> 250-500' <br /> 500-1000' <br /> Karcicover Variance Reqc�ired: Yes oc No Date of Cowacil Approvc�l: 1- 2 Z'� <br /> RE�I�IARKS(iri lioicse): <br /> 31 <br />