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CHECK OFF LIST FOR ISSUA1tiTCE OF PERtiIITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEG:�L: iqo'� � 61=�^'�ss Ps�"`'�PID: <br /> DESCRIPTIO\ OF «'ORI�: � . '_ c� + s r N <br /> ----------------------------- <br /> �,a.,�- <br /> DATE APPROVED: <br /> ZOtiZ\G RE«�ti B�': DATE APPROVED: <br /> BL�.DL\G RE�ZEtiV BY: <br /> ---------------- ------ <br /> FEES TO BE C�L-�RGED: Misc. Fees Calculated By: <br /> PERtitIT YzS �o <br /> PL.��+ RE�`ZE�y Y"es vo SEWERCOv�+�ECTION <br /> No WATER CON``��ECTION <br /> ST:�TE SL"RCH:�RGE 1'zS p�tK FEE <br /> Iv VESTIG�TIOv FEE Y�s �o <br /> S�C Yes �o STTE INSPECTION <br /> OTHER (specify) <br /> �iumber of S:�C Units _________�___r� <br /> ---------------- � <br /> ZOtil�G CHEC�i LIST Zonina Districr. <br /> Shoreland Districc : <br /> Fire Departmen[_ <br /> Post Office: Scnool Discricc: <br /> Lot?�rea: Sq.ft- <br /> �cres Width Depth <br /> Survev Suomi�ced: Yes <br /> �o Date of Survey: <br /> Proposed Setbac:tis: <br /> Fron� (Lai:ej: Righ[ Side: <br /> Re:r (S�ree:): Leit Side: <br /> .-�djacea� Scn:ccures: Wetland: <br /> Building Heieht. DeT. Hgt. <br /> Peak HQt. <br /> Av�. Setback: B1uif Setback: Lo[ Covezage: <br /> Exiscing Proposed <br /> Hardcover: �-��' <br /> i�-250, <br /> ?50-�00' <br /> �00-1000' <br /> Iiardcover Variauce Required: Yes No Date of Councii Approval: _ <br /> L�raduls: Start :�oproval Date: By: Council .�pproval Date: <br /> Septic: Starf �pp <br /> roval Date: B�' <br /> Q �ile: .� <br /> Resolucion: ,7 Resolution Date: <br /> Zonin, - _--- , <br /> RE�Ir�iRb:.S (in house): �, ; <br /> � l ` %� � ss�Qc� 02 4 ,.� ,� _..�0(3 <br /> ��v �%7 v-J !' F'�a.�v �-Y�o w/15 <br /> N,�,r�-� -� Q r l-U oTi .. �,�<_ ^.�r,.7t`�=A�l " '. <br /> �> , n�-P� W N-C(L I`V a�..� - ��'�,�.. <br /> c> 4=- '7�-�,l'' i <br /> __ � _ , ^�- , ;�i..a.� 1'V pr p � '?.;,� <br /> ,+_ P<v� :��-� �°->�`; � /3, �7 � <br /> ��- <br /> ! /, <br /> � � _ w�. <br /> _6 � <br />