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_ . � CHECK OFF L R OFFICE U$,E QCE OF P�RiVIITS <br /> FO t�' , <br /> += 05 �-a � r�u.s� f� l`'��m: ;�I �� % -� 3 �.�� �x-;���' <br /> �,DDRESSORLEG:�L: � �n�� <br /> DESCRiPITON OF `tiORb: � <br /> ----- % DATE APPROVED: '�i -Zz--�5 <br /> ZONIl�IG REVIEti�% BY: `� DATE APPROVID: �=� -L.z -�=i� <br /> BUTLDI�IG REVIEtiV BY: % '� � <br /> FEES TO BE CH.-�RGED: <br /> N1isc. Fees Calculated By: <br /> PERI'�TIT Yes ✓'� No <br /> PLAl�t REVIEtiV Yes �/ No SEWERCOti'VECTION <br /> STATE SURCHr�RGE Yes v No `�A� CONiti�ECTION <br /> �o ,/ pARK FEE <br /> INVESTIG�TION FEE �'eS �Ta � S� �SpECTION <br /> SAC YeS OTHER (specify) <br /> Number of S�C Units ______ w�__ __,____ <br /> -- -------------------------- r <br /> ZONI'i�iG CHECK LIST Zonin;District: i..r-��- Shoreland District : T 5 <br /> /G Post Office: <br /> �✓i� School Discricr. �'�%- <br /> Fire Deparcment: /`� <br /> Lot Area: Sq.ft- i v c;�%� _Acres : z"3 <br /> Width ((�,(u=G�,;;.,,�tc Depth � <br /> Survey Submicted: Yes � <br /> �o Date of Survey: <br /> Proposed Setbacks: <br /> Front (�)� �Z� � RiQht Side: <br /> Rear l�tr�ct): 5� `� Left Side: <br /> Adjacent Structures: /f���f� Wetland: f✓��� <br /> � Building Height: Def. Hgt. C', (L <br /> Peak H;t. �� � <br /> � <br /> Avg. Setback: <br /> iN�l Bluff Setback: �/%� Lot Covera�e: � -� � <br /> Exiscing Proposed <br /> Hardcover: 0-75' ������Z� <br /> 75-250' ^I`'�."r"�`T"� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes 2_ No <br /> Date of Council Approval: t�='_2.—�7� <br /> Grading: Staff APproval Date: <br /> y_ �z �y� g�. �U, Council Approval Date: <br /> Septic: Staff Approval Date: � ��'� By: " <br /> � - Resolution: n Resolution Date: ��-�Z �`� <br /> Zoni.ng File: � '�_"1 <br /> g��,��,g (in house): <br /> �b <br />