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, CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR� FFICE USE ONLY <br /> ADDRESS OR LEGAL: I�,�,� �j�gl �Y1,��� `-� <br /> PID: <br /> DESCRIPTION OF WORK: <br /> - ------------- -- ----;r- --------- - � - - - - ------------------------------------ <br /> ------------------- -- / <br /> ZONING REVIEW BY.• �% �.f , L:����� �"' ' DATEAPPROTrED: <br /> BUILDINGREVIEWBY: DATEAPPROVED: 3� Zz -0-7 <br /> FEES TO BE CHARGED: Misc. Fees Calcarlated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ��' PARK FEE <br /> SAC Yes No _� SITE INSPECTION <br /> Nzrn�be��of SAC Units OTHER (specify) <br /> ---------------------------------------------------------J-j J ---------------------------------------------------- <br /> ZONING CHECK LIST 'Loning Drst��ict: �'��I (, <br /> Fire Depar•tme�at: Post Office: School Distr•ict: <br /> , <br /> Lot Area: Sq ft. �'� � Acres ��� GVidth ��`J Depth <br /> Siu•vey Submitted: Yes� No Date of Survey: <br /> Proposed Setbacks: r �, <br /> Front(Lake): 'r V J v Right Side: ��J v <br /> � <br /> Rear(Street): a' �1� Left Side: '� '. ✓� <br /> Adjacent Structures: O�L Id'etland: <br /> Building Height: Def Hgt. �� Peak Kgt. <br /> Lot Cover•age: <br /> Grnding. Sta�fAppi�ova/Date: �/'� 13y: Cour�cil.4pprovalDate: <br /> Septic: StaffApproval Date: � t By: <br /> � - � ��� �'i L�J�U�J <br /> 7o�zing File: # (.� � � ;� Resola�tion: # Pesolartion Date: <br /> Shoreland District: tl�lCFl"D Pei•nu�t: <br /> Avg. Setback: l31a ff Setbnc%: Lot Coverage: ' ��_ <br /> Existing P�•oposed <br /> Hardcover: 0-7.i' <br /> 7�-2�0' <br /> zsn-�oo� <br /> soo-�oom , �� <br /> �. , <br /> I-Icu•dcover i uriance Reqtiir•ed. }es ��'o Y� Date of Courrcil.�lpproval: <br /> REMARKS(in lroirse): <br /> 33 <br />