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' � CHECK OFF LIST FOR ISSUAI�iCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3US I F►4RV 1�—W �AN�= <br /> PID: <br /> DESCRIP'ITION OF WORK: � �C��. <br /> -------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �� 22-`r� <br /> BUII.DING REVIEW BY: DATE APPROVED: S � zz -S� <br /> --------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes .� No SEWER CONNECTION <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 /> ZOivING CHECK LIST Zoning Distnct: LQ-���" Shoreland District : �� <br /> Fire Department: ost Office• h 1 L�ct: <br /> (� <br /> Lot Area: Sq <br /> .fr. Acres Width \ Dep[h <br /> Survey Submitted: Yes L No Date of Survey: O� �%�� `('Z'� -7� <br /> Proposed Setbacks: � � }, <br /> Front (Lake): yc�c� d-- Right Side: � - <br /> i � <br /> Rear (Street): IV�� Left Side: Z � <br /> Adjacent Structures: /4T17'�- U-{�� Wetland: l �D� f <br /> Building Height: Def. Hgt. Peak H° • <br /> Av�. Setback: Bluff Se ack: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' O.� No C��;��. _d_ <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> NI� Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution: # Resolution Date: <br /> RF.MARKS (in house): <br />