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� CHECIi OF�' LIST FOR ISSUA.i�'CE OF PER1I�IITS <br /> � _ , � FOR OFFICE USE ONLY . ' . <br /> • ADDRESS OR LEGAL: I �'l 0 NOR T�-r �4 Zc-,� �O� _— <br /> PID: <br /> DESCRIP'1'ION OF ti'YORK: ,� �,c.�� <br /> , <br /> ZO�G REYIE��V BY: D?�TE APPROY�D: � 2-�°1- �o <br /> BUILDTi�'G REY�SV BY: . DATE APPROY�: � Z= t�--�oo . <br /> FEES TO BE CH.4RGED: biisc. Fees Calculated By: <br /> pER1VQT Yes ✓ No :. <br /> PLAN REVIEW Yes _� No SEW��L COYNECIT0�1 - <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTiON <br /> IIv'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZO\�tG CHTTCK LIST zoain;Disuicc: L R- l(j _ <br /> Fire Department: ,w�,o v n�✓J Post Office: Pvuo�+��O School District: � ��p<�N r�•4 <br /> Lot Area: Sq.ft. N�o CN�ryt Acres .�� Width — Depth <br /> Survey Sub�itted: Yes_� No Date of Survey: _p.v �F�+ l.e (� '2 3 "�6 <br /> propvsed Setbacks: � <br /> Front(�: 3)O Right Side: '-S� <br /> Rear (Sc�eet): (o� Lefr Side: `7? <br /> Adjacent Structures: �4 7T�G'�-'� �Vetland: /�//� - <br /> guildin� Hei�hr. Def. Hgt. �.1� Peal:Hot. U.K • <br /> Lot Covera�e: �• �� <br /> Gradin�: Stafi Approval Date: -- By: Council Approval Date: <br /> Septic: StafE ApQroval Dace: — By: <br /> Zoning File: # '— Resolution: : Resolution Date: . . <br /> Shoreland District: `- /Uv <br /> Av�. Setback: Blufc Setback: LotCo�era�e: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2;asoo� - <br /> 500-1000' -- <br /> Hardcover Variaace Required: Yes No Date of Council Approval: <br /> gEI�IAR�i.S (in house): <br /> 7 <br />