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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONL Y , <br /> ADDRESS OR LEGAL: Z 7 I S 5� I UP�y ll� :��t,J <br /> PID: <br /> DESCRIPTION OF WORK � \� w��d c�s C�(�L I C C �t�r vx� � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY.• DATEAPPROTjED: Z.5 (� <br /> BUILDING REVIEW BY.• DATEAPPROVED: �e � z -O�, <br /> FEES TO BE CHARGED: Misc. Fees Calczdated By: <br /> PERMIT Yes� No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v' PARK FEE <br /> SAC Yes No r/ SITEINSPECTION <br /> Nzrmber of SAC Urrits OTHER (specify) <br /> -------------------------------------------------------, - --3----------------------------------------------- <br /> ZONING CHECK LIST Zoning Distr�ict: � <br /> Fire Depm-tir:ent: Post Office: School District: <br /> Lot A��ea: Sq.ft. Acres Yi�idth Depth _ <br /> Sauvey Subrnitted: Yes No ✓ Date of Survey: � Z 2 •� <br /> S�vv¢,� I vt � l� <br /> Pr�oposed Setbacks: <br /> Fr•ont(Lake): �( F3 Right Side: �� <br /> r � /^ <br /> Rear .(Str:eet,1: � 2 Left Side: �=-}- <br /> Adjacent Str�zrctures: �� Wetlancl: /v�" <br /> Bari(ding Height: Def Hgt. ��� Peak Hgt. <br /> Lot Coverage:_ lY� <br /> Grading: StaffApprova/Date: /Jo C I-Fr�_ By: Cozrr�cil.4ppr•ova!Date: <br /> Septic: StnffAppr�oval Date: (�S(o B}�: <br /> 7_onirtg I"ile: # Resolutioi:: � Resolirtia�Date: <br /> Shoreland District /y�} MCbi�D Pe�•miit: <br /> �1vg. Setback: 13/L ff Setbacic: Lot Caverage: <br /> Existrng Pi�oposed <br /> f-Iardcover•: 0-7�' <br /> ?�-2�0' <br /> 2�0-�00' <br /> soo-�oon� <br /> H�u�cicover �ai•iance Reqzrired: }es ��'o Date of Cauncil:ipp��oval.� <br /> REMARKS(in liouse): <br /> 33 <br />