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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: ZS-7& TI���2v� E3 `'SID' <br /> DESCRIPTIO\ OF WORK: <br /> ---------------- <br /> ------------ DATE APPROVED: 8 <br /> ZO\-L\G REVIEW BY: DATE APPROVED: 'g <br /> BL-.DL\G REVIEW BY: <br /> FEES TO BE CFL3,RGED: tilisc. Fees Calculated By: <br /> PERMIT Yes t"— No PLAN R_E�ZEW Yes No SEVER CONNECTION <br /> No WATER CONNECTION <br /> STATE SURCHARGE Yes No PARK FEE <br /> INVESTIGATION FEE YeS <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify)--^� --_ <br /> ------------ <br /> --------------------------------- ----------- -_ _ <br /> ZONLIG CHECK LIST Zoning District: 129-16Shoreland District <br /> Fire Department: L L Post Office: School District: O 2or4'b <br /> Lotarea: Sq.fr. �,O�oa, acres 2 <br /> Width ZLib Av-- Depth <br /> Survey Submitted: Yes _� <br /> No Date of Survey: O'L-SS <br /> Proposed Setbacks: <br /> Front (Iak-ee: (S� Right Side: <br /> Rear (Street): 226) + Left Side: <br /> Adjacent Structures: /t/ Wetland: AI(A- <br /> Building Height: Det. Hat. <br /> Z Peak Hat. K <br /> Avg. Setback: <br /> Bluff etback: of Coverage: <br /> E sting oposed <br /> Hardcover: 0- 5' <br /> 7 -250' <br /> 0-500' <br /> 00-1000 <br /> Hardcover Vari cc Requir d: Yes No <br /> Date of Co cil Approval: <br /> Grading: St - Approval D e: p By: Co cil Approval Date: <br /> Septic: Staff Approval Date: ! By: JC —/ <br /> Zoning <br /> File: Resolution: # � Resolution Date: � <br /> REN14RKS (in house): <br /> 26 <br />