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r .-- <br /> . . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /��d a �4 w•o.� (��h <br /> PID: <br /> DESCRIPTION OF WORK: ,.,o — �•'Yt.o�►�''.�c = /2c..�w,�.�-�, <br /> ZONING REVIEW BY: N/�- DATE APPROVED: <br /> BUII..DING REVIEW BY: DATE APPROVED: 11-�-1-9 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes No t/ SEWER CONNECTTON <br /> STATE SURCHARGE Yes !/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: �t!'v G�-f�''�� <br /> Fire Department: Post Offi �: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes N Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Ri t Side: <br /> Reaz(Street): Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning FIle: # Resolution: Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Blu f Setback: Lot Coverage: <br /> Exi ting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />