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CHECK OFF LIST FOR ISSUANCE O.F'PER1Y.tITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _��� (—��-��� �� <br /> PID: <br /> DESCRIPTION OF ��"O.RK: .�! � �..�� �'r i �'�'' '''a ,._ �" °��: ' <br /> U <br /> ������������������������������������������������������������������������������������������������������������������������ <br /> ZONItVG RE VIE l�B Y: DATE APPRO VED: <br /> BUILDX�VG REVIEW BYr DATEAPPR06'ED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Ntisc. Fees Calct�latecl By: <br /> PERII�tIT Yes 1Vo <br /> PLAN RE VIE GV Yes No SE LVER CO�VNECTION <br /> STATE SURCH.4RGE Yes !Uo �VATER CON�VECTIO�V <br /> INVESTIG.4 TION FEE Yes No PARK FEE <br /> SAC Yes tVo SITE tNSPECTIO�V <br /> Nic»zber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO�YItvC CHECh'LIST Zorci,tj Disd�icc: <br /> Fire Deparhner:t: Past Off ce: SclGool District: __,, <br /> Lot.�(rea: Sq.f't. Acres Gl�icftli Deptlt <br /> Sw-vey Subn�itted: Yes Na Date of Survey: <br /> Proposed Setbacl:s: <br /> Fra�t(Lake): Riglat Sicle: <br /> ReaJ•(Street): Left Sicfe: <br /> Adjace�zt Strcrct�ti•es: 4�etlarld: <br /> Building Height� Def. Ngt. Peak Kgt. <br /> Lot Coverage: <br /> Graclirlg: Staff,4pp�'oval Date: By: Coa�ncil Approval Date: <br /> Septic: Staff,�lpprova!Date: /'l BY� `� <br /> Zoiairtg File: # Resolc�tiai: # Resolc�tio�i Dnte: <br /> Shoreland Disn•ict: <br /> Avg. Setback: Blc�ffSetoack: LotCoverrge: <br /> Etiistirig Praposecf <br /> Hardcover: 0-7.i' <br /> 75-Z�0' <br /> 250-500' <br /> S00-IOGO' <br /> Karcfcove�� f/ariance Reqclired: Yes No Date of Cou�acil�ipproval: <br /> RE�tiIARKS(i�t l�ouse): <br /> -,, <br /> �� <br />