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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31�,S C�SC.o C�2C,u�. <br /> PID: <br /> DESCRIPTION OF WORK: �N��s C Q2��zewA y c1r�2� ,4,� c�-�s-rir� �o c�t= <br /> ZO.�TPi 1G REVIEW BY: DATE APPROVED: 3 •2 3 -v Y <br /> BLJILDING REV�W BY: DATE APPROVED; ��,-Z 3 •o Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ,/�o SEWER CONNECITON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ,� PARK FEE <br /> SAC Yes No �/ STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: N d C��+n/G-e . <br /> Fire Department: Post Office: School District: � <br /> I.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): L.eft Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt <br /> I.ot Coverage: <br /> Gradino: Staff Approval Date: y: Council Approval Date: � <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />