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, _ 2�3 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> . A.DDRESS OR LEGAL: �?;Ss C��PP�Z,v9 l�4�vcs <br /> PID: <br /> DESCRIPTION OF WORK: ,C l( iC ,/�,�.�/Jos c� BN�Ls�P <br /> ZO�tING REVIEW BY: � DATE APPROVED: `�- zG -�3 <br /> BUII.DING REVIEW BY: � DATE APPROVED: S- z.� -d3 <br /> ---------------------------------------�------���L ------�------.-�----�----�-;---�;------------------- <br /> FEES TO BE CHARGED: Mi�Fees �lculated By: J <br /> PERMIT Yes .�� No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------•--------------------------------------------------------------------------- <br /> Z4ti�VG CHECK LIST Zoning District: c�� (�_ �� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wi Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): _ Right Side: <br /> Rear (Street): _ Left Side: <br /> Adjacent Structures: Wetland <br /> Building Height: Def. Hgt. Peal:H . <br /> Lot Covera�e: <br /> GradinD: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resole�tion: # Resolution Date: . <br /> Shoreland District: <br /> Av�. Setback: _ Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Xes No Date of Council Approvale <br /> REv1ARI�S (in house): , <br /> 7 <br />