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CHECK OFF LIST FOR ISSUAIYCE OF PEI�ti�ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `'�`'11� F��� ��� �'"�'0i^' � <br /> PID: ' <br /> DESCRIPTION OF Yt�ORK: �� <br /> ---------------------------------- <br /> ---UL��—-------------------------------------------------------- <br /> ZO�YItYGREVIEGf�BY: D.qTEAPPROVED: y-S—o� � <br /> BliILDI�VGREVIEY�BY: Dr�TEAPPR06`ED: y- 5 -0 5 <br /> ---------------------------------------- <br /> FEES TO BE CHARGED: hlisc. Fees Calcccfated By: <br /> PERI�IIT Yes r/ �vo <br /> PLANREI�IEGV Yes �/ tVo SEYVERGOt�INECTIO�V <br /> STATE SURCH.4RGE Yes c� �Vo yVATER GO�VNECTI01�' <br /> It�IVESTIGATION FEE Yes tvo PrtRK FEE' <br /> S�1G Yes 1Vo SITE NSPECTION <br /> 1Vumber of SAC Units OTHER (specify) <br /> ------------------------------------ <br /> -------------------------- <br /> ------------------------------------------- <br /> ZONIIYG CHEC,£C LIST `�`La�<i�l�o�st1•icr: /l!' � <br /> Fire Deparhnerrf: Post Office: School Dish•ict: __.. <br /> Lot Area: S r. Acres �Yidth Depth <br /> R•I <br /> Su�tiey S«bniitted: Yes No Date af Scuvey: <br /> Proposed Setbndcs: <br /> Fror�r(Lake): Right Side: <br /> Rear(Sh•eet): Geft Side: <br /> Adjacent Struct�u•es: YPetlnnd: <br /> Building Height: Def. Hgt. Peak Kgt. <br /> Lot Coverage: � <br /> G�'acting: Stc�ff.4ppravnl Date: By: Council Apprava! Date: <br /> Septic: Scnff,�{ppr•ova!Date: BY� <br /> Zati�tg File: # Resalutia�t: # Resol<<tiat Dn�e: <br /> Shoreland Dish�ict: <br /> ,�vg. Setbnck: Bluff 5etbnck: Lat Coverage: <br /> Existin,; Propased <br /> Har•dcover•: 0-7�' <br /> �5-250` � <br /> 250-Sb0' � <br /> 500-1000' <br /> Hardcaver Vnriafice Req��irec{: Yes No Date ojCoautcil�pproval: <br /> .RE11�IA.RKS(i�t hoccse):� �-r i: �h.� ✓} �u,�e�9 `,,, � 2�e�r /�-( . <br /> ��.� S-e i (3 Z 1 Z <br /> 31 <br /> _ <br />