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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: 303� (�v�SC.x� �Po,� � <br /> PID: <br /> DESCRIP'TION OF WORK: o w�4 c� <br /> -----------_------------------------ - ------------------------------------------------------------------ . I <br /> Z0�1T�i'G REVIT`V BY: DATE APPROVED: Q - �5�S' � <br /> BUILDI1tG REVIEW BY: �✓ �� DATE APPROVED: <br /> FEES TO BE CHARGED: G��^� Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> Z0�1ING CHE.CK LIST Zoning District: /v�o c f fr+�3� <br /> Fire Department: Post Office: School Disuict: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Ri t Side: � <br /> i <br /> I <br /> Rear (Street): Le Side: i <br /> Adjacent Structures: Wetland: <br /> Buildin� Height: Def. Hgt. Peak Hgt. <br /> Lot Covera?e: <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: Blu f Setback: L.ot Coverage: <br /> Eu �g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />