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.4 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: `1635 -r0NY N\Jt C-W LANE <br /> PID: <br /> DESCRIPTION OF WORK: CeCr, <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: AD I1.5-o 2 <br /> BUILDING REVIEW BY: DATE APPROVED: I I-S-o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes r,-' No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> i INVESTIGATION FEE Yes i,� No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 2-3014e1 Acres S3) Width Depth <br /> Survey Submitted: Yes No Date of Survey: -7–IG-c.13 <br /> Proposed Setbacks: <br /> Front (fie): 2 Right Side: <br /> Rear (Street): 1 uo' Left Side: 1y t S NON <br /> Adjacent Structures: Wetland: <br /> ate/ 0.d bd. l S <br /> Building Height: Def. Hgt. n/1 A Peak Hgt. l <br /> Lot Coverage: 10°7o <br /> Grading: Staff Approval Date: No &hO fA.N2,) By: Council Approval D, <br /> nr#^ '�"4i <br /> NeeJs ow � <br /> Septic: Staff Approval Date: s P�e.J By: twi, <br /> Zoning File: # — Resolution: # ---- Resolution Date: A.,V 7 <br /> Shoreland District: 90 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): %j� Wope_ <,7p T-eyJ w��,-�ov-� <br /> 7 <br />