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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: �� ,SA/VOSTON(j C�2C.l.r <br /> 4 PID: <br /> DESCRIPTIOV OF WORK: ��i�f �5 % � 2 �,,.�r <br /> ZO�iING REVIEW BY: DATE APPROVED: r o-Zg -� <br /> BUII.DI�i 1G REVIEW BY: DATE APPROVED; �o� t,ti=o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes c/' No <br /> PLAN REVIES� Yes v� No SEV�ER COTINECI'ION <br /> STATE SURCHARGE Yes _� No WATERCONNECITON <br /> INVESTIGATION FEE � Yes No � PARK FEE <br /> SAC Yes _� No SIT'EINSPECTION <br /> Number of SAC�Units �_ OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: -. <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: (O •(6• 03 <br /> Proposed Setbacla: � <br /> Front(Lake): `/� Right Side: t9 <br /> Reaz(Street): �� Left Side: O <br /> Adjacent Structures: (� Wetland: N/p► <br /> Building Height: Def. Hgt. v•<< Pea�Hgt. <br /> Lot Coverage: �1 /f� <br /> Grading: Staff Approval Date: 10 • 2°��cr3 B}•: � �. Council Approval Date: <br /> Septic: Staff Approval Date: N (A gy: <br /> Zoning File: # — Resoludon: # — Resolution Date: <br /> Shoreland District: �tip <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existino Proposed <br /> Hardco�er: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdco�er Variance Required: Yes No Date of Council Approval: <br /> REMARKS fin house): _ <br /> 7 <br />