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� <br /> - CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�/8� S!x➢'�/ AV�NLL� Na.Q�'ff <br /> PID: �!'o -/IB Z3 '�3 002� <br /> DESCRIPTION OF WORK: 57D�DU�2 �pN L� <br /> --- --____----------- ----------------------_____------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: - � <br /> BUILDING REVIEW BY: --�— DATE APPROVED: <br /> FEES TO B CHAR ED: Misc. Fees Calculated By: <br /> PERMIT ��p, Yes ✓ No <br /> PLAN RE W Yes No ✓ SEWER COrfNECTTON � <br /> STATE SUR��iARGE Yes No ✓ WATERCONNECTTON — <br /> INVESTIGAT'ION FEE Yes No � PARK FEE — <br /> SAC Y;;s No � SITEINSPECTION -- <br /> Number of SAC Units -- OTHER (specify) -- <br /> __ ---_---- ----------------------------------------------------------- <br /> ZONING CHECK LIST zoning District: �./�'�� <br /> Fire Department: � Post O�ce: �L School District: �/LO/�� <br /> Lot Area: Sq.ft. -� Acres -- Width '— Depth '-' <br /> Survey Submitted: Yes� No Date of Survey: �/U /L�' <br /> Proposed Setbacks: <br /> Front (Lake): _ � Right Side: "' <br /> Rear(Street): Left 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: # C�� Resolution: #3 ro7 Resolution Date: '�� -/� <br /> Shoreland Dist ict: ✓ <br /> Avg. Setback: � Bluff Setback: — L.ot Coverage: -- <br /> � Existing Proposed <br /> Hardcover: 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 /> � 26 ..r—� <br />