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CHECK OFF LIST RFOR ISSUANCE USE EYOF PERMITS <br /> FORFF <br /> ADDRESS OR LEGAL: 10,I w' —41.14' PID: <br /> DESCRIPTION OF WORK: f2AtNe• <br /> DATE APPROVED: fir <br /> ZONING REVIEW BY: I DATE APPROVED: <br /> BUILDL\G REVIEW BY: <br /> ��,,,, Misc. Fees Calculated By: <br /> FEES TO BE CHARGED: <br /> PERMIT Yes V No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> No / WATER CONNECTION <br /> STATE SURCHARGE Yes pp�g FEE <br /> INVESTIGATION FEE Yes No-� / PARSITE INSPECTION <br /> SAC Yes <br /> Number of SAC Units OTHER (specify) <br /> - <br /> -ZONING CHECK LIST Zoning District: <br /> Shoreland District <br /> Fire Department: <br /> Post Office: School Di• rict: <br /> Lot Area: Sq.ft. h <br /> Acres Width D-pth <br /> Survey Submitter <br /> Yes No Date of Surve, : <br /> Proposed Setbac. : <br /> Front ( ak.): Right Side: <br /> Rear (S reet : Left Side: <br /> Adjace't St crures: We land: <br /> Building Heigh: Def. Hgt. Pe . Hgt. <br /> Avg. Setback: <br /> Luff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' - <br /> Hardcover V: 'mace Requ' -d: Yes No I .te of Council Approval: <br /> Grading: S : Approval D te: _ By: Council Approval Date: <br /> Septic: Sta Approval Date. — By. <br /> Zoning <br /> Fil, : # resolution: # Resolution Date: <br /> REQ •h• (in house): <br /> 26 <br />