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: <br /> . • <br /> , CHE�._� OFF LIST FOR ISSUANCE OF � �tNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S`d 5 5 ��-�r�► o4.►'P ti°' <br /> PID: <br /> DESCRIPTION OF WORK: AOQ�no'� - <br /> ��� DATE APPROVED: ��io /�6 <br /> ZONING REVIEW BY: <br /> BUII.DING REVIEW BY: DATE APPROVID: <br /> -------------------------- <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT • Yes J/ No <br /> PLAN REVIEW Yes ci' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of SAC Uruts O'THER (specify) <br /> --------------------------- g <br /> ZONING CHECK LIST Zonin Districr 22- 1 Shoreland District: n�a <br /> Fire Department: � Post Office: � School District: D/l.��a <br /> LotArea: Sq.ft. �Y�,y�t 3 Acres '�. <br /> 2 Z Width 2o e� Depth G 7 5. Y5 Av�. <br /> Survey Submitted: Yes � <br /> No Date of Survey: Z' Z-�'S� <br /> Proposed Setbacks: � <br /> Front (�e): i1J�1� Right Side: Ivv* � <br /> Reaz (�reet): S�o� � I.eft Side: 80�f w <br /> Adjacent Structures: 5 v ' � Wetland: N�f�' <br /> Building Height: Def. Hgt. G• (� P� H8�• <br /> Avg. Setback: ' Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> �'� 500-1000' <br /> � Date of Council A rovat: <br /> Hardcover Variance Required: Yes No PP <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution: # Resolution Date: <br /> REMARKS (in house): <br /> 26 <br />