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CHECK OFF LIST FOR ISSU.ANCE OF PERMITS <br /> FOR OFFIC�USE ONLY <br /> ADDRESS OR LEGAL: � `f��'C� ���(c..t�c-,�–���� <br /> PID: <br /> DESCRIPTIONOFWORK: � Z' x J7 ' n�� � hCL�,-�- <br /> ZONING REVIEW BY.• � DATEAPPROVED. J(� /'�5 Gi��� <br /> BUILDING REVIEW BY.• DATEAPPROVED. —� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ��yN� �� <br /> PERMIT Fes ✓" No <br /> PLAN REVIEW I es ✓°' No SEWER CONNECTION <br /> STATE SURCHARGE Fes � No uATER CONNECTION <br /> INVESTIGATION FEE Y'es No_� PARK FEE <br /> SAC Yes No �/' SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> �_��____�___���_�___��_�________�__�_��_��r_�� ��_�___��_____��__�__��_���___�__� <br /> ZONING CHECK LIST Zoning Disti-ict: l��� <br /> Fire Departnzent: _ Post Off ce: School District: <br /> Lot Area: Sg ft. Acres W'idth Depth <br /> Survev Submitted: }'es �� 1Vo Date of Sz�rvey: f�1.,� �V' <br /> Proposed Setbacks: q <br /> Front(Lake): _{�� � Right Side: 0� <br /> i , <br /> Rear(St�•eet): � � Left Side: � � <br /> \ <br /> .4djacent Structures: � Wetland: <br /> Building Keight: Def. Hgt. � /�— Peak Hgt. <br /> Lot Coverage: _� <br /> Grading: StaffApprova[Date: Bt: Council Approval Date: <br /> Septic: StaffApproval Date: �(� � ������ Bl�,� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: �L�CG['D Permit: <br /> .4vg. Setback: B1uffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-%.i' <br /> i�-��0' <br /> ?.i 0-�00' <br /> .i 00-1000' <br /> Hardcover I'ariance Requir•ed: Y"es No Date ofCouncil.9pproval: <br /> REM.9RIiS(in house): <br /> 33 <br />