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� CHECK OFF LIST FOR ISSUA��iCE OF PERNIITS <br /> , FOR OFFICE USE ONLY <br /> �DDRESS OR LEG:�L: ��3 P����'' � PID' <br /> DESCRIPTI01 OF �i'ORI�: RR� � 7�4�� ADOinoti/ <br /> -------------------------------------n---- <br /> ------------------------------ ---------_----____ <br /> ZO��iG REV��V B�': �' DATE APPROVED. �o-c 5 -� 5 <br /> BUII..DL�G REtiIEtiV BY: DATE APPROVED: �v-��- yS <br /> ---------------- - <br /> -------- ----- _____ <br /> FEES TO BE CH_-�RGED: N1isc. Fees Calculated By: <br /> PER�IIT Yes '� N0 <br /> PLAN REVIE�� Yes �/ No SEWER CON�tECTION <br /> STATE SliRCH:�RGE Yes ✓� No WATER CONNECTION <br /> INVESTIG�TION FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of S�.0 Unics OTHER (specify) <br /> ------------------------------------------- <br /> ZO�L'`G CHECI� LIST Zoning District: L2-I�3 Shoreland District : YGS <br /> Fire Department: ✓K.o�ni✓� Posc Office: C�C_cc.s�02 School Discrict: G.�eS��� <br /> Lot Area: Sq.fc.��`i 2� Acres <br /> .`� o�� Width !`[�� Depth Z d� � �' /a�E <br /> � <br /> Survey Submi[ted: Yes �C _ �`o Date of Survey: (n'�� 'O�� <br /> Proposed Secbacks: r N <br /> Front ��): ��� Right Side: $� <br /> Rear (Stteer7: /5� � Left Side: 05�5 <br /> Adjacent Structures: i4��u�-� ��'etland: it/�+� <br /> Building Height: Def. Hgt. � -!G Peak Hgt. � <br /> Avg. Secback: — N li9— Bluff Setback: --" Lot Coverage: � <br /> Existin� Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-�00' 20 � 21 d10 <br /> �00-1000' <br /> Hardcover Variance Required: Yes No �_ Date of Council Approval: '— <br /> Grading: StaTf Approval Date: <br /> ^ By: Council Approval Date: � <br /> � <br /> Septic: Staif �pproval Date: BY� <br /> Zonin� File: n '— Resolution: # —" Resolution Date: r <br /> ��,�5 (in house): <br /> 26 <br />