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� ' <br /> CHECK OFF LIST FOR ISSUANCE OF'PERtti.tITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S�I rCRN►���-�= N <br /> PID: <br /> DESCRIPTXON OF Yt�ORK: R�-'-����— <br /> ------------------------------------------------- <br /> 7_OtVI�VGREVIEYVBY: — D.ATEAPPROVED: <br /> BUILDI�VGREVIEYY BY• ,,G --�----- DATEAPPR�6'ED: 3- zg—�� <br /> -------------------------------------- <br /> FEES TO BE CHARGE,D: �L'Iisc. Fees Ca(cc�lated By: <br /> PERII�IIT Yes � No <br /> PLA�V RET�IEGV Yes � �Vo SELVER GONNECTIO�V <br /> STATE SURCH.4RGE Yes tVo YVATER CONiVECTIOIV <br /> IIVVESTIGATION FEE Yes tVo �� PARK FE.E <br /> Sf1G Yes tVo l� SITE NSPECTION <br /> N�u�tber of SAC U�tits OTHER (specify) <br /> -- - ---------- ------------------------------------------ <br /> Z'O�VIIYG CHECh'LIST zo��in;Discrtcc: ,rV� c /-���� <br /> Fire Depnrtrnerrt: Post Off ce: Scleool Dish•ict: _. <br /> Lor..�.rea: Sq.f'r. �(a•es YViddi DepN� <br /> 5u�vey Subn�itted: Yes Na Date af Scuvey: <br /> Proposed Setbncl;s: <br /> Fror�r(Lal.e): Rigltt Sid • <br /> Rear(Street): Left Side: <br /> Adjncent Structiu•es: YUednnd: <br /> Building Height: Def. Ngt. Peak Kgt <br /> Lot Coverage: � <br /> Grnding: Staff,4pproval Date: 9, • Council rlpproval Date: <br /> Septic: Stnff,4ppi•oval Date: BY� <br /> Zoni�tg File: � Resotutiat: # Resol«tion Dnte: <br /> Shoreland Dish•ict: <br /> Avg. Setbnck: B �eff Setback: Lot Coverage: <br /> •istin� Proposed <br /> � <br /> Hardcover: 0-75' <br /> 75-2 5 0' <br /> ?50-500' � <br /> 500-l000' <br /> Flarcicover Var•iafice Reqc�ir•ed: Yes No Date of Coauacil Approval: <br /> .REl'I�IARXS(il�Itotcse): <br /> 3 <br /> � � � � � ' �; , � � � <br />