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' ' CHECK OFF LIST FOR ISSUA.��7CE OF PER1l�IITS <br /> _ FOR OFFICE USE OiVLY <br /> ADDRESS OR LEGAL: 1 g �5 F'(�G C ►Z�te 55 I�o r�•►� �/� <br /> PID: <br /> DESCRIPI'ION OF WORK: 3 5���,J o�c.-f- <br /> ZO�'G REV�ti� BY: DATE APPRO y�D: ��-i�-o 0 <br /> BUII..DI�i 1G REVIE`�BY: DATE APPROV�D: �o- i>- o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERNIIT Yes ✓ No : <br /> pLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes _,� No WATERCO�INECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Un.its OTHER (specify) <br /> ZOYLVG CH�CK LIST Zoning District: L.�-- �L <br /> Fire Department: YV�,�,�,,.► ✓� Post Office: ��'� School Discrict: wf STz���`� <br /> Loc Area: Sq.ft. I 'a, `0�S 3 Acres , 31 b Widch � 5� Dep� I � l .a� <br /> Surve;� Submitted: Yes C No Date of Survey: <br /> Pro osed Setbacks: <br /> P €�a�(Lakej f w ct 7 � Right Side: �•� <br /> B�eet)��' 1 l Z Left Side: 5y <br /> Adjacent Structures: ��T1�(-rLY� Wetland: —' . <br /> Buildin� Hei�ht: Def. H�t. p , k Peal:HJt. " <br /> I,ot Covera�e: � 3 '� <br /> Gradin�: S�aff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoaing File: # 26C��7 Resolution: � ` �'���--Resolution Da[e: <br /> Shoreland District: v P 5 <br /> Av�. Setback. V A�2�rkwC.e Blufi Setback: � I,ot Covera�e: l�°Z� <br /> Ezistin� Proposed <br /> � <br /> Hardcover: 0-7�' <br /> 75-250' zy. I Z y .1 <br /> ti0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No D� Date of Council Approval: <br /> RE�IARKS (in house): <br /> 7 <br />