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' � <br /> - �� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i�?� �, '�, /�-v�� /L� � <br /> PID: <br /> DESCRIPTION OF WORK: �;�,--� �'�� <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: - � DATEAPPROVED: �� -�� � J <br /> BUILDING REVIEW BY: ; DATE APPROVED: � '��, �� <br /> , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR:I�ARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y;:s � No SITEINSPECTION <br /> Number of SAC Units 1 OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: LF-1� <br /> Fire Department: (�,�,ti;��c.L Post Office: (,un.� 1�ku: School District: �l3-t,�,�� <br /> . —� <br /> Lot Area: Sq.ft. I l I i�l I ta• � t Acres 2�:� Width 3 Z 1.�S Depth :�7 ?.�3 �v� <br /> Survey Submitted: Yes X No Date of Survey: � i`� ' `a 7 <br /> Proposed Setbacks: <br /> Front (ba�e): _I 7 � � � Right Side: �4�v� � <br /> Rear (SErett): 1 1 C� Left Side: �% 3�i <br /> Adjacent Structures: (1; 1,�! Wetland: v � � <br /> Building Height: Def. Hgt. Z`7` Peak Hgt. 3'� � <br /> Lot Coverage: +'� �+�-- <br /> Grading: Staff Approval Date: � � 2� `ti � By: � Council Approval Date: ��i: I�- <br /> Septic: Staff Approval Date: /U f ff By: <br /> r� <br /> Zoning File: #{ Resolution: # Resolution Date: <br /> Shoreland DisLict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> ,�q,� 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 <br />