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� <br /> :� - CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3af3 S �s� Po...�-r- PID: <br /> DESCRIP"TIO` OF �VORK: Zr�9 5-�-�2�+ �too� na� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONTi�1G REVIEW BY: DATE APPROVED: �o •2- S S <br /> BUILDING REVIEW BY: _�„� (� _ DATE APPROVED: r v •-Z..-4 S <br /> ----------------- <br /> F`EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓'� No <br /> PLAN REVIEW Yes �� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECI�ON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L2-/L Shoreland District : cr�s <br /> Fire Department: � st Office: /S;kt�g��st�'� <br /> / '_ <br /> Lot Area: Sq.ft. cres i th � Depth <br /> Survey Submitted: Yes _� No Date of Survey: 6 -�f- 6`f <br /> Proposed Setbacks: �;-� <br /> Front (ba�e): (00 � Right Side: 3S � �J A L� �� �3Ti� <br /> Rear (S�E�reet): �Z�S� Left Side: �� •Z � <br /> Adjacent Structures: /y� Wetland: N�� <br /> Building Height: Def. Hgt. Z�- Peak Hgt. 3 d � <br /> Avg. Setback: Bluff etback Lot Coverage: <br /> Existin Proposed <br /> Hardcover: 0- 5' <br /> 75 250' <br /> 25 -500' <br /> 5 -1000' <br /> Hardcover Varianc Required: Yes N Date of Co ncil Approval: <br /> Grading: Staff Ap roval Date: y: Cou cil Approval Date: <br /> Septic: Staff App val Date: BY� <br /> Zoning File: # Res u ion: 1# Resolut n Date: <br /> REMARKS (' house): <br /> 26 <br />