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CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 9 p IMY Rz�.W�o�D �o A,�D <br /> PID: <br /> DESCRIPTION OF 6i�ORK: o�� <br /> ------------------------------------------------------------------------------- <br /> ZO�YINGREVIEt�BY: DATEAPPROVED: �r- Y- �H <br /> BUILDIivG REVIEW BY: DATEAPPRO�'ED: � �- Y- °`( <br /> -------------------------------------- <br /> FEES ?'0 BE CHARGED: Nlisc. Fees Calczcicztecl By: <br /> PERI�IIT Yes �/ No <br /> PLAN REVIEGV Yes � �Vo SEYVER GON�VECTIOtV <br /> STATE SURCH.4RGE Yes � 1Vo tiVATER CO�WECTIOtV <br /> INVESTIGATIOIV FEE Yes No t/ PARK FEE <br /> SAC Yes 1Vo �/ SITE NSPECTIO�V <br /> NLcmber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------ <br /> ZO�YIIYG CHECh'LIST Zar�irig Dist�•ict: R�L- �� <br /> Fire Departmerrt: Post Office: Sclxool District: _.. <br /> Lot.�trea; Sq.ft. Q'rS�l Acres � (•�3 6Yidtl� 2 S 1 Depth <br /> Sauvey Sc�bniitted: Yes OC No Date of Scuvey: <br /> Proposed Setbacks: � � + <br /> Frortt(Lake): �I O t Rigl:t Side: Lb0 _ <br /> Rear(Sh�eet): �J� Left Side: l fo 0 <br /> Adjczcent Str•uctiu•es: (0 � ��etland: N��°' <br /> Betilding Height.• Def. Hgt. — Peak Kgt. <br /> Lot Coverage: � <br /> Grctding: Staff Approvt�l Date: '�— By: Council Approvc�l Date: <br /> Septic: Staff.�lpprova!Date: � BY� <br /> Zonirig File: # 63-29�`� Resolc�tiat: # 5�35 Resol�ztion Dnte: <br /> Shoreland Dish•ict: t[ <br /> Avg. Setback: B1uffSetback.• LotCoverage: <br /> Esisting Proposed <br /> HRrdcover: 0-7�' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Nardcover Yariarice Requirect: Yes No Date of Co��ncil Approval: <br /> RE111ARKS(in hotcse): <br /> 31 <br />