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� CHEC�i OFF LIST FOR ISSUAA'�TCE OF PER1tinTS <br /> • FOR OFFICE USE Oi1L.Y . ' . <br /> �ADDRESS ORLEGAL: 2lZo �" O x s i <br /> PID: <br /> nEscx�ov oF�oxx: �v��,�� �7�,5 <br /> . _ <br /> Z OtirL1 G REY���%BY: DATE APPROVED: ,� —S - �t <br /> BUILD�'G REY��BY: D�.TE APPROVID: (� �5- o t ' <br /> FEES TO BE CFL4RGED: Niisc. Fees Calculated By: <br /> pEgMI'r Yes �/' No �- <br /> pl,p,N �ZEVIEW Yes � No SEW��CONNEG"TION <br /> STATE SURCHARGE Yes � No �IATERCONNEC'TION <br /> I'�i,rVESTIGATION FEE Yes No ✓� PA�K �E <br /> SAC Yes � No c� SITEINSPECTTON <br /> Number of SAC-Units OTHER (specify) <br /> ZOti�L�IG CT3�CK LIST zonin� Districc: (ZR.-�Q . <br /> Fire Department: c.�', Post Ofuce: �� School District: D/CtW� � � <br /> ylb, b 3 �-s'"7 -rcl�t- �c,a�-- De th �rf3 4� <br /> L,ot Area: Sq.fr. 3°t 6,�t c�_Acres �j.(Z �..1�� Widrh �a-Q.t'� P � <br /> Surve;� Subu.itted: Yes o< No ��� Date of Survey: s -��• c�i <br /> Proposed Setbac?cs: , <br /> Froet (La'�ce): 325 Ri;ht Side: ' Z�O <br /> Rear (Screet}: S 3 c7 Left Side: `�7, `8 <br /> Adjacent Struccures: /�J �YA- �Vetland: �5 � • <br /> Buildin� Hei�ht: Def. H�t. 3�` Pe��H�t. 3`�` _ <br /> Loc Covera�e: N (1Q <br /> Gradin�: Scafc Approval Date: (,- �2 - v� gy; �-� _ Council Approval Date: <br /> Septic: Scaff Approval Date: (� � H - �� By: �•D• <br /> Zoning File: n Resolution: n — Resolution Da�e: � <br /> Shoreland District: N� <br /> Av�. Setback: Blufi Setback: I.otCocera�e: <br /> E���? Proposed <br /> Hardcover: 0-75 <br /> 7�-250' - <br /> ti0-500' <br /> SGO-lOQO' <br /> Hardcover Variance Required: Yes No Das� of Counci� Aoproval: <br /> REtiiARhS (in house): <br /> 7 <br />