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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �S C t�R.�s�ro r o�.s C„�2 <br /> PID: <br /> DESCR�'TION OF WORK: no <br /> ZO�TING REV�W BY: DATE APPROVED: �-�� -5� <br /> BUII�DING RE'VIEW BY: DAT'E APPROVED: �(—i S —�t� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v- No <br /> pLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`HARGL Yes 1/� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y;:s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�TING CHECK LIST Zoning District: <br /> ��� Fire Department: Post O�ce: School District: <br /> G <br /> Lot Area: Sq.ft. Acres Width Depth <br /> .. <br /> Survey Submitted: Yes �. No Date of Survey: ON �t(.� <br /> Proposed Setbacks: , <br /> Front (Lake): _ ZS� '� Right Side: �QO� <br /> Rear (Street): 1 ti�, * Left Side: ']S � <br /> Adjacent Structures: V�1T"t 1�►CH�"� Wetland: N/M� <br /> Building Height: Def. Hgt. n1/I'} Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> � � Septic: Staff Approval Date: By: <br /> �• Zoning File; # Resolution: #i Resolution Date: <br /> Shoreland DisL-ict: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />