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� <br /> � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I y(�5 Go.�n�t-t, �O/�o S r x <br /> PID: <br /> DESCRIPTION OF WORK: ���� �-r-��.�r JZ.�.rvw,�e c� <br /> ZONING REVIEW BY: �------- u..-.---------------DATE APPROVED: --��Z.o�o'z-- <br /> BUILDING REV�W BY: DATE APPROVED: g- z,o_02 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No �� PARK FEE <br /> SAC Yes No �� SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes pC No Date of Survey: �l'2'�2 ��r� z,ow��f-,I e '�o z-Z7 7 Z� <br /> Proposed Setbacks: <br /> .F�est(Lake): '�Zt>� t Right Side: 11�5 � '�' <br /> �ear(Street): �5'�� = Left Side: Z.S�� t <br /> � <br /> Adjacent Structures: '� Wetland: — <br /> Building Height: Def. Hgt. e�•�- Peak Hgt. �.1< <br /> Lot Coverage: /l!Jr� <br /> Grading: Staff Approval Date: --- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: #bL�Zl�2 Resolution: # y�/� Resolution Date: y�/7 /YW Y Z�d, 0 2 <br /> Shoreland District: �t�5 <br /> Avg. Setback: Bluff Setback: Ji9+���/ LotCoverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />