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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE NLY ,�J'/� <br /> ADDRESS OR LEGAL: /3cx� ,�ra c�,� -f-��> 1'n��� � 1�l� <br /> PID: '7 - b 3� / <br /> DESCRIPTION OF WORK: � �v �3�' - _ s o nr <br /> ----------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: �Z-2�•SS <br /> BUII.DING REVIEW BY: DATE APPROVED: �2.-2 J-4 S <br /> ---------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ./` No <br /> PLAN REVIEW Yes � No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes ti" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: Shoreland District : <br /> 1 <br /> Fire Department: Post Offi�ce: School Distr�t: <br /> / , <br /> Lot Area: Sq.ft. Acres Width j Depth <br /> i � � i <br /> Survey Submitted: Yes No I�ate of Survey: � <br /> . / r `� � <br /> Proposed Setbacks: , <br /> Front (L ): Right Side: j' � <br /> � / <br /> Rear (St et): ! Left Side: rf� /,t � <br /> f + 1, <br /> Adjace t Structuires: �� Wet�and: ' <br /> j f <br /> Building Heig t: Def. H�t. Pe�lc Hgt. 1"I � <br /> � f <br /> Avg. Setbacl�: �� �uff Setback: � L�it Coverage: � <br /> � ' - <br /> j xisting Prop�se�-------_.._._ <br /> HardcoverF 0-75' � <br /> / 75-250' � ' � <br /> i � <br /> 250-500; ' ; f � <br /> 500-1000' ; I � <br /> Hardc ver Variance Req�ired: Yes No��` Date�of Council Approval: '�, <br /> � : <br /> Gra ing: Staff Approval+��Date: f/ By: �Council Approval �� te: <br /> � � <br /> S tic: Staff Approval D te: i�l BY� � � <br /> 0 <br /> oning File: # Resolutio�: # Resolution Date: <br /> REMARKS (in house): � — <br /> 26 <br />