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Uikr. <br />CHECK OFF LIST FOR ISSUANCE OF PERIvnTS <br />FOR OFHCE USE ONLY <br />ADDRESS OR LEG AI.: 22.MO fox>________ <br />PID: <br />T''P <br />DESCRIPTION OF WORK: LAfsto AuTEToar-o C <br />ZONING REVIEW BY; <br />BUILDING REVIEW BY; O <br />DATE APPRO\TD; <br />DATE APPROVED: <br />y./V- go <br />AJh^ <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____WATER CONNECTION <br />INVESTIGATION FEE Yes____No____PARK FEE_________ <br />SAC Yes____No____ <br />Number of SAC Units <br />SHEINSPECnON <br />OTHER (specify)_ <br />ZONING CHECK LIST Zoning District: a d <br />Fire Department: <br />Lot Area: Sq.ft._ <br />Post O f Ice: <br />Acres <br />School District: <br />Width Depth <br />Survey Submined:Yes Ao <br />Proposed Setbacks: <br />Front (Lake): <br />Date of Survey: <br />R ght Side: <br />Rear (Street): <br />Adjacent Structures: <br />Building Height: Def. Hgt. _ <br />b ft Side: <br />Lot Coverage: <br />Wetland: <br />Peak Hgt. <br />Grading: Staff Approval Date: H' I'H ~ e<->By: •Council Approval Date: <br />Septic; Staff Approval Date: <br />Zoning File: #_________Resolution: W <br />By: — <br />Resolution Date: <br />Shoreland District: <br />Avg. Setback:Bluff Setback: <br />E.rilting <br />Lot Coverage: <br />Proposed <br />Hardcover;0-75’ <br />75-250’ <br />250-500’ <br />500-1000 ’ <br />Hardcover Variance Required: Yes <br />REMARKS (in house); <br />No Date of Council Approval: