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. , . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE IISE ONLY <br /> ADDRESS OR LEGAL: z� �,(� C,qsc� ,Da„�,r �,�.p <br /> PID: <br /> DESCRIPTION OF WORK: /j�c; _ �,,� 2 � L--x re,,.,-n�� <br /> ZONING REVIEW BY.• DATEAPPROVED: r v -�S�-�1 <br /> BUILDINGREVIEWBY.• DATEAPPROVED: ro-�� -c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: M � M��_~�~__ <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes�� No SEWER CONNECTIDIV <br /> STATE SURCHARGE Yes_�No GT ATER COI��VECTION <br /> INVESTIGATION FEE Y'es No� PARK FEE <br /> SA C Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: _�~�--_-��-N_��_�— __�_ <br /> Fire Department: _ Post Offce: School District: <br /> Lot Area: Sq ft. Acres _ GG'idth Depth <br /> Swvev Submitted: 3'es� 1Vo Date of Survey: �.r � <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> ,4djacent Structures: Wetland: <br /> Building Height: Def Hgt. Peak Hgt. l/�V C F��'9� <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: Staff.4pproval Date: Bj�: + ,�,��` <br /> .� <br /> Zoning File: !# Resolution: #_ Resolution Date: <br /> Shoreland District: y�Q<j b1CG�'D Permit: <br /> .4vg. Setback: p.{� B1uffSetback: N (da LotCoverage: �vo �/'�/�5.� <br /> Existing Proposed <br /> Hardcover: 0-%�' <br /> 7.i-�50' <br /> ��0-.500' <br /> soo-�oon� <br /> Hardcover G ariance Regtrired: Yes �'o�_ Date of Council,4pproval: <br /> REM.4RIiS(in house): <br /> 33 <br />