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' y . V <br /> � r * CHECK OFF LIST FOR ISSUANCE OF PER�vIITS <br /> FOR OFFICE USE ONLY - <br /> ADDRESS OR LEGAL: 31`'!S �t4 Lo P_ss �'►'i<<-�. ��� . <br /> PID: <br /> DESCRIPTION OF WORK: N t=� t'Z�5 <br /> ZO��G REV�W BY: ~~ ~ DATE APPROVED: ! •S-�T 5 <br /> . BI,TII,D11iG REVIEW BY: � DATE APPROYED; �� - ��•�r°�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> pL,AN REV�W Yes �/' No Sb�ER COIVNEC'ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No +r� PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> __________ _______--- --------- - ---- - <br /> ZO�Zti G CH�CS LIST Zoning District: R�z-�� <br /> Fire Department: nt Ic� Post Ofhce: " t,c,� School District: n+Zon�r� <br /> Lot Area: Sq.ft. Acres .S � � Width ►/L�e cvc�2 Depth — <br /> Survey Submitted: Yes � No Date of Survey: t 2-1 l-°t 9 <br /> Proposed Setbacks: <br /> Froat(L-aice): I O o•(o Right Side: � $� � � <br /> • � <br /> Rear(SEreet): 6 0(� i- Left Side: Z 2S_ <br /> Adjacent Structures: !J /v'� Wetland: 10�0 � fi <br /> Buildin�Height: Def. Hgt. 3 v � Peal:Hgt. 3q' <br /> Lot Covera;e: N (�' ' <br /> Gradin;: Staff Approval Date: 1 -(o•�u By: �t�. Council Approval Date: rl (!�` <br /> Septic: Staff Approval Date: 1 • �o -UJ BY: G P• <br /> Zoning File: # —' Resolution: # -- Resoludon Date: <br /> Shoreland District: IV O <br /> Avg. Setback: Bluff Setback: I.fltCoverage: <br /> . Ezisting Proposed <br /> Hardcover: 0-75' . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: _ <br /> RENIARKS ('m house): _,�� � io o e <br /> 7 <br />