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� ` ,�!. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: :� ��� ��-i�-.��i ;_;.��.�=:�'� �� <br /> PID: <br /> DESCRIPTION OF WORK: �;1"=;� t� �'��.�.�,�,;;-Z <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIE�J BY: � DATE APPROVED: ,+�,��!� <br /> BUILDING REVIEW BY: DATE APPROVED: ���..� —y L <br /> � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes r.�� No SEWER CONNECTION <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 /> -------------------=--------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Off ce: chool District: <br /> Lot Area: Sq.ft. Acres Width De�t�i <br /> � � <br /> Survey Submitted: Y s �_ No_� Date of S rvey: �!J <br /> f � <br /> it <br /> Proposed Setbacks: 1 i <br /> Front (Lake): Right Si : j� ;� <br /> i ' <br /> Rear (Street): Left Sid : f�r <br /> ; <br /> r : <br /> Adjacent Structur s: Wetland: <br /> Building Height: Def. H . Peak Hgt. <br /> Lot Coverage: � � ; ;�� <br /> -� � 1 <br /> Grading: Staff Approva�Date: By: Council Ap�roval Date: <br /> � <br /> � � ; ,�----� <br /> Septic: Staff Approval ate: By: i <br /> Zoning File: # Resolu�ion: Res lution Date: <br /> Shoreland District: � <br /> Avg. Setbac : Blu f Setback: <br /> 'Ex' ting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 0 <br /> 500-1000' <br /> " <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />