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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: � Q�, a!����,J�.c:� �c� � <br /> PID: 3��-- f' �� C '0 7 � 'L�,�- �, �ruL� ,.� � ��!J <br /> DESCRIPTION OF WORIG �"-.ti' '/ � ' �1.�'� Ddr�y.� ;u, �f,,,rT <br /> /D�--- ---_�_�__��_�_____�, ____ <br /> ZONING REVIEW BY.• �F � DATEAPPROVED: � �� <br /> BUILDING REi�IEW BY: DATEAPPROVED: � -�-at$ <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: ��y�� �y <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes�v - No SEWER CONNECTION /tiA <br /> STATE SURCHARGE Yes� No WATER CONNECTION /V/� <br /> INVESTIGATION FEE Yes No� PARK FEE /1 i`�} <br /> SAC Yes�- No SITEINSPECTION <br /> Number of SAC Units �_ OTHER (spec�) <br /> ZONING CHECK LIST Zoning District��j�1-'�-� �N � � `_________________ ______ <br /> Fire Department: ` l-- Post Offzce: � L School District.• Q��°(��� <br /> i <br /> Lot Area: Sq.ft. `� 2(c;�� S��Acres ��: /Z Width � 7 r L Depth �2�� .•�� <br /> Survey Submitted.� Yes '� No Date of Survey: 2- 2�' G'��] <br /> Proposed Setbacks: � � ��/ <br /> Front(�a�: �" Right Side: �� <br /> Rear(�xe,e1,1: �-�� � '~ Left Side: _S � <br /> Adjacent Structures: �� �l�-i'S,� Wetland: <br /> �� � � <br /> ► �� � <br /> Building Height: Def. Hgt. �- ` Peak Hgt. <br /> Lot Coverage: N � <br /> c.�_p� , <br /> Grading: StaffApproval Date: �� By: � CouncilApproval Date: �� <br /> Septic: StaffAppiroval Date: � � By•� <br /> Zoning File: # �_ Resolution: # �— Resolution Date: �— <br /> i <br /> Shoreland Disb•ict:�L� MCWD Permit.� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existin Proposed <br /> Hardcover: D-75' <br /> 75-250' <br /> 250-50 <br /> 5 - 000' <br /> Ha�•dcover Variance Required: Yes No� Date of Council Approval.• '— <br /> REMARKS(in house): <br /> 33 <br />