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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: eV( T-ON(CAW IA <br /> PID: <br /> DESCRIPTION OF WORK: -t•1= <br /> -------------------------------------------------7 _Gy--- <br /> ZONING REVIEW BY: DATE APPROVED. - 2 S <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> — <br /> FEES TO BE CHARGED:— Misc. Fees Calculated By: — <br /> PERMIT Yes f No <br /> PLAIN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes -� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> --______-------------_—__----___ ------------ -------------------------------------------------- <br /> ZONING CHECKLIST ZoningaDistrict: G(Z.-)-- <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 1 S Stl-12.y Acres 3 Width Depth <br /> Survey Submitted: Yes X_ No Date of Survey: & <br /> Proposed Setbacks: <br /> Fi4at(Lake): 3 9 Right Side: i a 2 } <br /> Rear(Street): 3t5" Left Side: 2 4!; <br /> Adjacent Structures: A T'a Ac.1hfQ Wetland: N JA <br /> Building Height: Def. Hgt. — Peak Hat. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: /V /r0 By: Council Approval Date: <br /> Septic: Staff Approval Date: /V(A By: <br /> Zoning File: #of-Jo2b Resolution: # Resolutioa Date: 7-z 6 -e'f <br /> Shoreland District: _T5 <br /> Avg. Setback: V <br /> tU Bluff Setback: Lot Coverage: /y//9 <br /> Existing Proposed <br /> Hardcover: 0-75' 3•z <br /> 75-250' r ' <br /> 250-500' 27_4 <br /> 500-1000' <br /> Hardcover Variance Required: Yes_)I No Date of Council Approval: 1- Z�-O�1 <br /> REMARKS(in house): <br /> 7 <br />