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CHECh OFF LIS OFFICE USE ONLyOF PER�tiIITS <br /> FOR <br /> :�DDRESS OR LEG:�L: �� ' �� �' ����� /�-�%�PID: <br /> DESCRIPTIO\ OF ��'OR�i: s�f� <br /> ----------------------------- <br /> DATE APPRO : �; ,al �S 5' <br /> ZO\�G RE���V BY: - , �-=�-- — <br /> BUII.DL\G RE�`�titi BY: � • ���-- DATE A.PPROVED: �s - z� ���5- <br /> FEES TO BE C�L-�RGED: �fisc. Fees Calculated By: <br /> PER�IIT YzS � �o <br /> PL:��t RE`ZE��T Y�s �/' �10 � SE`�'ER C0�1�,�CTION <br /> f/ No WATER COi�tNECTION <br /> STATE StiRCH�RGE Y�S paRK FEE <br /> INVESTIG.�TIOti FEE YzS �o `� <br /> SAC Yes No � SITE INSPEC'ITON <br /> Number of S�C LTnits __________ OTHER (specify) _Y _ <br /> --------------- <br /> -------------- �' <br /> ZO`�G CHECI� LIST Zonin� District: ��-��-' � Shoreland Distnct : — <br /> -� posc O�ce: 5c�District: <br /> Fire Departmenc: �� <br /> Lot Area: Sq.n. <br /> Acres �� � �Vidth Depth <br /> Survev Submi[ted: Yes X <br /> �ro Date of Survey: Z --'-{- �� <br /> Proposed Setbacks: <br /> Fronc �•�C�): N 1✓� Ri�ht Side: 2-�� <br /> ;��� <br /> Re:r (�` i J` Left Side: � <br /> Adjacenc Structures: /2� � <br /> Wecland: �'��� <br /> r Peak Hgi. <br /> Building Hei�hc: Def. Hgt. V• �- <br /> .�vg. Secback: ° <br /> Bluif Setback: r ot Covera�e: <br /> Esistin ` Prop sed <br /> Hardcovez: ��� <br /> 7 -250' <br /> � 0-�00' <br /> � 0-I000' <br /> Hardcover Varian e Required: es No Dat of Council pproval: <br /> Grading: Scaif � proval Da�e: Bv: Council � proval Dace: <br /> Sea[ic: Staif .�p roval Date: B`'� -r--- <br /> • I <br /> Zoni.n� Fiie: � <br /> Resolut n: � ?� � Resolution Da e: <br /> _ ,` <br /> ��,�5 (inr house): <br /> 26 <br />