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� CHECiK pFF LIST FOR ISSUANCE OF �ERIYIITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRE�SORLEGAL: aC� SS Cc�L�e�v►'e� ��<<�'�� <br /> PID: SC.v'e�C1 (��1 G�� �i��J�v�c, C�,�: <br /> I7ESCRIP`I'ION OF WORK: �'�N ��-" <br /> _ ------------ -------______—__-- <br /> ------------------------- <br /> � � DATE APP�.OVED: �( — I <br /> ZO�TG REVIE�4V BY: ____—.—_ — <br /> �UII�DING REVIEtiV BY: � . DATE APPROVED: 9 - �3-0� <br /> F`EES TO BE CHA.RGED: � Misc. Fees Calculated By: <br /> P��T Yes ,/ No <br /> PLAN REVTE`V � Yes —� No SE��ER COiYNECTION <br /> STATE SURCHARGE Yes � Na `VA�CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Uruts OTHER (specify) <br /> -------------------------------- I <br /> ZO�G C�C� LIST Zoning District: I � <br /> Fire Depar[ment: <br /> Post Office: School Dis[rict: � <br /> L,ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No�_ Date of Survey: <br /> us�c� S,.r.i I cU -- I 1- `t�o <br /> Proposed Setbacks: ��1. �`�` �' � � <br /> Froat(Lake): � 6'� R�t Side: Sr <br /> Rear(Street): �� �- Left Side: <br /> �.i�3�Pnt .Crnt�ttSIZS: j.Vatlanrj: <br /> �� <br /> Builclin� Height: Def. Hgt, Peal:Hgt. <br /> Lot Covera�e: +� l'� <br /> B Councii Approval Date: ' <br /> Grading: Scaff Approval Date: Y� <br /> Septic: Scaff Approval Dace: _ ' '��"v� By: �'� <br /> Zoaing File: � Resolutioa: n Resolution Date: _ <br /> Shoreland Districc: A)� <br /> Avg. Setback: B!uff Setback: L.otCoverzge: <br /> Eusting Proposed <br /> Ha,�dcover: G-7�' <br /> 7�-2�0' -- <br /> 2�0-5d0' <br /> 5CQ-1C�C0' <br /> *, • v �'n L���' Oi C0117C1l .�,. �^`'�� <br /> Ha��ecover Va-i�ce ��equ!red: ,es :�� <br /> �'., Y-"'— <br /> � � �— <br /> F.E�L=�.RI�S (in house): (1 O ��✓��1 �=�C� �Q��C�h <br /> � � � � <br />