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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PER1ti�fITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LE GAL: S I I-1�4c,K�3�z R� ��< <� <br /> PID: <br /> DESCRIPTIO.�'OF Gt�O.Rh': �r�,s�c..�- r....�N o o`^� <br /> ----------------------------------------------------------------------------------------------- <br /> ZONING RE vIE l�B Y: �t/(d� D.�I TE APPRO VED: <br /> BUILDING.REVIEWB�': r,/>c� • DATEAPPR06'ED: //- 5-�� <br /> ----------------------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: �Llisc. Fees Cc�lculated By�: <br /> PER�fIT Yes � �ti"o <br /> PLAN REVIEGV Yes �Vo � SEYVER CONNECTION <br /> STATE SURCH4RGE Yes �� ���o YV�ITER CO�ViVECTION <br /> I�VVESTIGATIOIV FEE' Yes No PARK FEE <br /> Sfl C Y"es �Vo SITE NSPECTION <br /> Nccmber of SAC U�aits OTHER (specifv) <br /> ---------------------------------------------------------------------------------------------- <br /> ZONI[YG CHECK LIST Zoni�ig District: �r� C�-/� <br /> Fire Deparhrzerrt: Post OjJice: Sclrool District: __. <br /> Lot.�lrea: Sq.ft. Acres 6Yidth Depth <br /> Scuvey Subntltted: Yes Date of Stnvey: <br /> P�•oposed Setbad,s: <br /> Fraru(Lake): Right ide: <br /> Rear• (Sd•eec): Left Side: <br /> Adjace�zt Struct�u•es: G�et n�f: <br /> Buildiizg Heigltt: Def. Xgt. Peak Kgc. <br /> Lot Coverage: � <br /> G�•adi,lg: Scaff,4pp��ovccl Date: By: Coccr�cil Approval Date: <br /> Septic: Stnff,4pprova!Date: BY,� <br /> Zorzi�ig Fife: # Resolutio�� # Resol�itio�l Date: <br /> Shoreland Dish•ict: <br /> Avg. Setback: Ble�ff Set6acic: Lot Cove,•age: <br /> Esisti�tg Proposed <br /> HardCove�•: O-7�' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000 <br /> Hardcover Variafice Reqicir d: Yes No Date of Coeutcil:�pproval: <br /> .REMARKS(in {aouse): <br /> 31 <br />