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., CHECK OFF LIST FOR ISSUA�vCE OF PER1ti1ITS <br /> FOR OFFICE USE ONLY <br /> :�DDRESS OR LEG:�L: ��,�'�� �i-c..: ,CLy��z-�t �i�PID: C`�-// 7-,.� � � � �� ..,�c <br /> , tl L` � <br /> , <br /> DESCRIPTIOti OF �`'ORI�: y��%� �--��: r��-- <br /> ---------------------------- <br /> _ ---- <br /> ZO\�G REV��V BY: � - DATE APPROVED: 9- b -�rs <br /> BUII.DL\G REV�W BY: DAT'E APPROVED• �t 6- s <br /> --------------� --------------------------___��_�____________ � _ <br /> ---------------- - <br /> FEES TO BE CH_-�RGED: Misc. Fees Calculated By: <br /> PERv1IT Yes +i' �o <br /> pL a� ��E�y Yes �— No SEWER CON�IECTION <br /> STATE SliRCH:�RGE Yes � No WATER CON�tECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No v SITE INSPECTION <br /> Number of S�C Units _____ OTHER (specify) <br /> -----------------------------------___---__ ` <br /> ZONL`G CHECI� LIST Zoning District: 2fZ, i� Shoreland District : ` <br /> Fire Deparcmenc: ��- Pos[Office: �- Schcol District: C��c�c� <br /> Lot?�rea: Sq.ft. Z + <br /> (�c.wS A.cres — Width �R.�.�.q���2. Depth <br /> Survey Submitted: Yes �_ <br /> �,ro Date of Survey: �'2Z--�S <br /> Proposed Setbacks: <br /> Front �1�e): S�•S Right Side: (o�l•�� � <br /> Rear l�E)� '���` + �n Side: 70�* C� <br /> Adjacenc Structures: �/f} Wetland: �/f) _ <br /> Building Heiaht: Def. Hgt. Pe� H��' ��'S <br /> Avg. Setbac : luff S tback: Lot Coverage: - <br /> xistin Proposed <br /> HarCcover: �- �' <br /> 75- 0' <br /> 2=0- p, <br /> �00-10 0' <br /> Hardcover ariance Requi d: Y s o Dat of Council Approval: _ <br /> Grading: St ff �pproval Date. By: Council .�pproval Date: <br /> Septic: Staff :�pproval Date: <br /> � -c� - 5s By: �'-�--�. <br /> Zoning File: n Resolucion: � Resoiution Date: <br /> g���KS (in house): <br /> 26 <br />