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� <br /> ' CHECIk OFF LLST FOR ISSUA.`TCE OF PERtiIITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEG:�L: ic.�5 �N�n�� PID: <br /> DESCRIPTIO\ OF �`'O�: v��'^'G _ <br /> ZO\ZtiG RE�`��ti BY: ���_� DA'TE APPROVED: �Z-b• S 5 <br /> B L�.D L\G R E«ti V B Y: U W« DATE APPROVED: <br /> -------------________----- <br /> FEES TO BE C�i�RGED: ��L�o,�y y�isc. Fees Calculated By: <br /> PER�IIT YzS � �o <br /> PL�� RE`ZE�� Yes ti o SE`VER CO��+�ECTION <br /> ST:�TE SL'RCH.-�RGE Yes No WA'IER CONi�TEC'ITON <br /> INVESTIG�TIO� FEE Yes —!� No P?�RK FEE <br /> S�C Yes No SITE 1NSPECTION <br /> Vumber of S:�C Units _ OTHER (specify)__rM__�_�__�_ <br /> ------------------------------- <br /> ZONL\G CHEC�i LIST Zonin� Discrict: L��I�- Shoreland District : y�PS <br /> � Fire Department: <br /> Post Office: School DisTrict: <br /> Lot?�rea: Sq.n. <br /> Acres Width Depth <br /> ! <br /> � �,ra Date of Survey: <br /> Survev Submi[ted: Yes <br /> Proposed Secbacics: <br /> F:onc �Lai:el� Rignc Side: <br /> .- � Rear (St:ee:): Leit Side: <br /> � .-�djacea� Scn:ctures: ��/ecland: <br /> i <br /> A 1 � • G-� Peak Hgc. <br /> r�j Building Heig.h�: Def. H;t. <br /> AvQ. Secback: Biuif Sesbacic: Lo� Coverage: <br /> Existin� Proposed <br /> � <br /> Hardcover: �-»' <br /> ',5-250' <br /> =50-�00' <br /> 500-1000' <br /> Hardcover Variance Required: Yes :vo Dace oi Council Approval: _ <br /> GradinQ: Staif �oprova! Date: (Z - 6 �y 5 By: �U. Council �pproval Dace: l(- 13'Si5 <br /> Sep[ic: Starf :�pproval Date: BY� <br /> Zonin� File: T Zo7 S Resoiution: ; ��,3 S Resolution Daze: !I-/� -�S _ <br /> ��,��5 (in house): <br /> 26 <br />