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_ CHECK' OFF LIST FOR ISSUAlYCE OF PER1ti�tITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS ORLEGAL: Z7O Crzx.sTv��w ��� <br /> PID: <br /> DESCRIPTIOtV OF Yl�ORIC: �'�.w�ro o�-� /�Q��°i� <br /> -------------------------------------- ------ ----------------- - _ . <br /> ZOtYING RE vIE Gv B Y: � �--- D.ATE APPROVED: 3 - 14-�S <br /> BUILDIIYGREVIEWBY, DATEtiPPR06'ED: ?-►y-o5 <br /> ----------------------------------- <br /> FEES TO BE CHARGED: �1isc. Fees Calct�lated B}.': <br /> PERtYtIT Yes __� [Vo <br /> PLA��I RE I�IE GV Yes � tVo SEYVER GOtV�VECTIOtV <br /> STATE SURCH.4RGE Yes � No tiVATER CO�WECTIOtV <br /> I��IVESTIG.4TIO��I FEE Yes [vo�- Pf[RK FEE <br /> SrlC .Yes _ �Vo� SITE NSPECTION <br /> Ntcmber of SAC U��its OTHER (specify) <br /> -------------------------------------------------------------------- <br /> 2'ONIIYG CHEC,Fi LIST Zor�irtg Disrrtcr: <br /> Fire Deparhnerrt: Post Office: School DisG•ict: __. <br /> Lot,�{rea: Sq.J't. `���z-3 � Acres Z� 0 7 6�idth Depth <br /> 5iuvey Subr��itted: Yes�_ No Date of Scuvey: 1 -Z-O`� <br /> Proposed Setbncl;s: , <br /> F+•orit(Gnke): /70 ± Rig/at Side: 1 t •6 <br /> Ren�•(Street): 2�� � t Left Side: ! 3�'�� <br /> Adjacent Sh•uctiu'es: — Yl�ednnd: — <br /> Building Height: Def. Hgt. �• k Peak Kgt. ' <br /> Lot Cove1•age: � /v � � <br /> Grading: Staff Approval Date: —' By: Cotinci!Approvc�! Dafe: <br /> Sepric: Scaff��Lppral�a!Date: ' BY� <br /> Zating Fife: # — Resolutioit: # Resolutia¢Dnte: <br /> Shoreland Dish•ict: _T S <br /> Avg. Setbnck: N l� Biuff Setback: �✓ ��' Lot Coverage: 1•�l � <br /> Esistin,; Proposed <br /> Hardcove�•: 0-7�' •`/) <br /> 75-250` iu.7 JL <br /> ?so-sao� i�3P <br /> 500-IODO' <br /> Ffardcover Vm•iafice Reqc�irect: Yes No �_ Date of Courtcil Approval: <br /> .REl'I�IARKS(iii ltouse): <br /> 31 <br /> � � � � � �� � ' I� �t s ���� �, 3: <br />