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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �lZbS FO�'L�� c�Y� �� �DR�v-e <br /> PID: <br /> DESCRIPTION OF WORK: (2�.QcAc� � o�-�1-� + Y�.��� ���yr. �/,��,v �;, <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � (Q�_ DATE APPROVED: 9 - 4 -q� <br /> BUILDING REVIEW BY: DATE APPROVED: c� • °t --S t� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION i <br /> Number of SAC Units OTHER (specify) ' <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO�'ING CHECK LIST Zoning District: �/() C I�7�G�fi� <br /> �/ <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): Rig t Side: <br /> Rear (Street): Le Side: <br /> Adjacent Structures: Wetland: <br /> I, <br /> Building Height: Def. Hgt. Peal: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: Bluf Setback: L.ot Coverage: <br /> Exis ing 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 />