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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (AW 1 TOWCcVw A R A O <br /> PID: <br /> DESCRIPTION OF WORK: \rtC&u 0-4 &ugST 'JN4(J4-044-' <br /> -------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 3- 3-06 <br /> BUILDING REVIEW B DATE APPROVED: 3-(9-cAb <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes J No WATER CONNECTION <br /> INVESTIGATION FEE Yes No r/ PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC-Units Pa.a OTHER (specify) <br /> ------------- ----------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes _ No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): 1.6t Right Side: �3 <br /> Rear(Street): t o 1 Left Side: 303 <br /> Adjacent Structures: Wetland: N <br /> Building Height: Def. Hgt. o. Peak Hgt. <br /> Lot Coverage: N � <br /> Grading: Staff Approval Date: VJ C CBy: Council Approval Date: <br /> Septic: Staff Approval Date: N f✓1 By: <br /> Zoning File: # _ Resolution: # Resolution Date: <br /> Shoreland District: y Qg <br /> Avg. Setback: rJ 1A Bluff Setback: .01A Lot Coverage: /fl <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' Lo 23-g <br /> 250-500' 2-R-to <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REviARKS (in house): <br />