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CHECK OFF LIST FOR ISSUANCE OF PEIZ�tiIXTS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: �C�5 � Fi9lt'v��w �►^'p <br /> PID: <br /> DESCRIPTIO:VOFYl�ORK: K�Tc/�e�✓ �'L`"'�L <br /> -------------------------------------- <br /> --- ----- - - --------------------------------------------------------------- <br /> Z0�V7NGREf/IEt�BY: ! r D.-4TEAPPROVED: Ja •i� -o y <br /> B UILDING RE VIE YV B : DA TE APPR 0 6'ED: �o -�4 -�Y <br /> -------------------------- <br /> FEES TO BE CHARGED: / 1�'Iisc. Fees Calcc�l��ted By: <br /> PER�titIT �`eS J ��o <br /> PLAN RL I/IE GV Yes ✓ �Vo SE LVER COtV�VECTION <br /> STATE SURCH.4RGE Yes _L�� �Vo tiVATER COtWECTIO�V <br /> INVESTIGATIOIV FEE Yes tVo PARK FEE <br /> SAC Yes �Vo SITE NSPECTION <br /> �Vun�ber• of SAC U��its OTHER (specify) <br /> -------------------------------------------------------------------------------------------------------------- <br /> TONING CHECh'LIST Zaning Districc: �J o Gc-�-��C�.Q <br /> ti <br /> Fire Deparhraerrt: Post Office: School District: _____ <br /> Lot,�(rea: Sq.Jt. Acres GYidth Depth <br /> Swve}�Subrrtitted: Yes No Date of Stuvey: <br /> Proposed Setbacks: <br /> Fro��r(Lalce): Riglat Side. <br /> Reai•(Street): Left Side: <br /> Adjacerzt StrucUu•es: Yt�etla� : <br /> Buildir�g Heiglit: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> G,�adi,�g: Scaff,4pprovc�f Date: y: Cocuicil Appraval Date: <br /> Septic: Stnff,�tpprovaf Date: BY� <br /> Zoning File: # Resolutia�: # Resoltttion Date: <br /> i <br /> Shoreland Dish•ict: <br /> Avg. Setback: Bluff etbadc: LotCovel•age: <br /> E�istir g Proposed <br /> Hardcover: 0-7�' <br /> 75-2.i 0' <br /> 250-500' <br /> 500-1000' <br /> ffardcover i�ariance Required: Yes No Date of Co�utcil Approval.• <br /> RE1tiIARXS(in house): <br /> 31 <br />