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CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI.: : ', _ ,_ : � , PID: <br /> DESCRIPT'ION OF WORK: � � _ - , ' ,. <br /> ZONni tG REVIEW BY: � _ DAT'E APPROVED: � � <br /> BUII.DING REVIE`V BY: . DATE APPROVED: � - , <br /> - --------------------------- <br /> FEES TO BE CHARGED: Niisc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No �EWER COIV�IECITON <br /> STATE SURCHARGE Yes No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -----------------------------_---___ <br /> ZONING CHECK LIST Zoning District: Shoreland District : <br /> Fire Deaartment: <br /> Posc Office: School District: <br /> LotArea: Sq.fr. <br /> Acres Width__ Depth <br /> Survey Submitted: Yes - No Date of Survey: ' ' <br /> Proposed Setbacks: , • <br /> Front (Lake�): � �.��-� �" Right Side: �' %��ti <br /> Rear (Street): � ' Left Side: ' <br /> Adjacent Structures: ' Wetland: �'��'�'� <br /> Building Height: Def. Hgt. � '� Peak Hgt. <br /> Avg. Setback: B?uff Setback: Lot Coverage: <br /> E�isting Proposed <br /> Hardcuver: 0-75' ' <br /> 75-250' ---r <br /> 250-500' --'� <br /> 500-1000' --_-_ ,-----;— <br /> Hardcover Variance Required: Yes No Date of Council A�proval: __ <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> RENIARKS (in house): <br /> 26 <br />