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� <br /> . CHECK OFF LIST FOR ISSUA1tiCE OF PERMITS <br /> FOR QFFICE USE C�NLY / <br /> f1DDRESS OR LEGAL: 3 �/,5� �`'�L�j.�ie-� ���c� ��<it <br /> PID: /7 � ii - .� � �/ �%G /� <br /> DESCRIPTTON OF WORK: i=��-�v��� n a� ,— t=��� '� i'� C;v-�:�1C:�. <br /> ZONING REVIEW BY: �� r'R DATE APPROVID: tf-Z�= `�+�: <br /> BUII.DING REVIEW BY: , � DATE APPROVID: `i- u `r� <br /> ------------- --------- <br /> FEES TO BE CHARGED: Misc. Fees Calculateci By: <br /> PERMIT Yes � No <br /> pL�J ��w Yes _� No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes �/'� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -- -------------------------- <br /> ZO�iG CHECK LIST Zoning District: G./�- ��— Shoreland District : x�=5 <br /> Fire Department: Y►�w,=.v.>' Post Office: ������� School District: ✓��-��' <br /> , ' ,4� Width r5�-' Depth <br /> Lot Area: Sq.ft. ('`1�S 3'- Acres �j t;��' <br /> Survey Submitted: Yes �_ No Date of Survey: <br /> ���� <br /> Proposed Setbacks: � <br /> F�t (Lake): `{5 Right Side: (.�Y��` <br /> �ear (Street): ti'(/F Lefr Side: `f 5� '� <br /> Adjacent Structures: ��`�-�� Wetland: <br /> Building Height: Def. Hgt. /L'� i � Peak H�t. <br /> Avg. Setback�,��� Bluff Setback: /�-� �� Lot Coverage: r�-(.G� <br /> Existin� Proposed �, <br /> ' 3� •� (�; <br /> Hardcover: 0-75' -3� <br /> 75-250' � L= �c� �"'Z .�`1� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes /� No Date of Council Approval: � - 12-`14: <br /> Gradin�: Staff ?�pproval Date: •'����' By: Council Approval Date: <br /> Septic: Staff Approval Date: IZ•(/1 By� <br /> u -�.-� � Resolution Date: ����—���' <br /> Zoning File: n �-� � � Resolution: # <br /> RE�.'�iARKS (in house): <br />