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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 160 T Q i FirALA 'mA 1(— <br /> PID: <br /> DESCRIPTION OF WORK: Q ECS <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: O s-Zr 9g <br /> BUILDING REVIEW BY: ,,,_ DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ti No <br /> PLAN REVIEW Yes io- No SEWER CONNECTION <br /> STATE SURCHARGE Yes I/ 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 Zoning District:/ 44-16 <br /> Fire Department: Post Office: C, C+�` School District: GL) <br /> Lot Area: Sq.ft. A_ �;Fi zi�Acres Width Depth <br /> Survey Submitted: Yes y1 No Date of Survey: Qn; =/LA= <br /> Proposed Setbacks: f <br /> Front (Lake): 118 t Right Side: 521 � <br /> Rear (Street): 'ZCA; i 4- Left Side: C z oC `4 <br /> Adjacent Structures: Wetland: /V 1A, <br /> Building Height: Def. Hgt. /V ill- Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <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): <br /> 7 <br />