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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: �(,� -a'�-�v�-��. � , ���- c 3?`�" <br /> PIL: ���� ! /�� .) _� G�k ����-� �7 `' (�L`� �� �7��/b�!�/��� ��--C:lk'1� / � 1�'�li/���- J <br /> DESCRIPTION OF WORK: i L'c� _�i�.c>C c ��y1/c L� !�'c.��/1 f- r� �=c <br /> --------------------------------------------- ----------------------------------------------------------- --- -------- <br /> ZONING REVIEW BY.• =�� � �� DATEAPPROVED: � �%�� <br /> BUILDING REVIEW BY: ,.._ DATEAPPROVED: Z- �!- o S' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLANREVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes�— No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> --NT�rnber•of SAC Uiiits T�Ns�,� r_„a,,,. pe,„,,.o OTHER (speccf}) <br /> . <br /> ------------------------------ -�ILn����6 Y.4_�--9--��-��------------------------- <br /> --------------------------- <br /> ZONING CHECK LIST Zo�ii��g Distf•ict: l/� /�� <br /> Fire Departncent: Post Office: School Distr�ict: <br /> Lot Area: Sq.ft. �l� �7�!�� � �Acres �. ���-' �'�'� I�idt7� L='�/ Depth �7�0(� � � <br /> Stuvev Sttb�nitted: Yes � No Date ofSu�vey: �- `� ����5� <br /> Proposed Setbacls: .� � ., �� � � / <br /> Fro�zl(L�.' �-� �:�� Right Si�le: ��— <br /> c� � � (� � I <br /> Rear(�ff.• �� Left Side: �� =- <br /> i <br /> Arl«celzt Sb-uctu�•es: ��� i�eticmd: =�� <br /> � , <br /> BuildingHeight.• Def. Hgt. �� PealcHgt. 3,� <br /> �� - , �� iq <br /> 1,0!COV27'[1�2: J : L� �" � 7 L;�',C�� I�(''cl�t G'�i-'T�,�bl"`'� .i��`i�C , 7l�y . . <br /> J <br /> Gf-ading: Stc�ffApprova!Date: Z- �-C�S Bv:p�� • Cocrncil Appf•ova!Date: <br /> Septic: Staff'Approval Date: // � By: '— <br /> Zo�li�zg File: # /,�`�-Z�'�l S� Resolirtion: # ���l`��% Resolution Date: � /Z- C�' ` <br /> v,, - <br /> Sl�oreland District: G y -t- <br /> Avg. Setback: � �1�, Bluff Setback: �� Lot Coverage: �:� �5 ;t` ' <br /> Existing Proposed <br /> Hm•dcover-: 0-75' — — <br /> 75-250' •— , Sl � <br /> 250-500' '— ��� <br /> 500-1000' C� <br /> Hardcover Variance Required.• Yes No� Date of Council Appf•ov�rl: � <br /> REMARKS(in house): <br /> 33 <br /> � <br />