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CHECK OFF LIST FOR ISSUAI�iCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI.: �(b(.7 r o 2��T f-��� p� <br /> PID: <br /> DESCRIPT�ON OF WORK: .�l-�� <br /> ZONING REVIEW BY: DATE APPROVED: 5�-�-�,� <br /> BUII.DING REVIE�V BY: DAT'E APPROVID: S--v��t� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes ✓ No SEWER CONiVECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITE INSPECITON <br /> Number or SAC Units OTHER (soecify) _ ^ <br /> ----------------------------- <br /> ZOiVTi�1G CHECK LIST Zoning Districr. G.2 –�� Shoreland District : � <br /> Fire Depanment: t Office: Sc o �tri� <br /> Lot Area: Sq.ft. res <br /> i �" Depth <br /> Survey Submitted: Yes aC No Date of Survey: m/� �� �-� <br /> Proposed Setbacks: , <br /> Front (I�e}: (ad � Right Side: ((d <br /> Rear (StFeet): I U Left Side: I O` <br /> Adjacent Structures: ,.SC�� -� `Vetland: <br /> Building Height: ef. Hgt. Peak Hgt. <br /> Avg. Setback: Bluff Setback: Lot overage: <br /> Exi ing Propo ed <br /> Hardcover: 0-7 ' <br /> 75-2 0' —�- <br /> 250- <br /> 500-1 00' <br /> Hardcover ariance Re uired: Ye o Dace of Council A proval: <br /> Gradin�: aff Approv Date: By: Council A roval Date: <br /> Septic: St Approval D te: BY� <br /> Zoning F' e: # Resol ion: # Resolution D e: <br /> (in house : <br />