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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZZ-3s F���chl Crt�..�k C�2c�c..�.s <br /> PID: <br /> DESCRIPTION OF WORK /�-,�D� n�i✓/ ��n e� <br /> --------------------------------------- ---- ----------------------------------------------------------_---,-o------ <br /> ZONING REVIEW BY: DATEAPPROVED: 6 S s' <br /> BUILDING REVIEW BY: DATEAPPROVED: 6 -S• � s <br /> FEES TO BE CHARGED: Misc. Fees Calczclated By: <br /> PERMIT Yes�,� No <br /> PLANREVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Nz.cmber of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECKLIST ZoningDistrict: <br /> Fir•e Department: Post Office: School Distr•ict: <br /> Lot Area: Sq.ft. Acres Wiclth Depth <br /> � San-vey Submitted: Yes� No Date of Si�fvey: _�� 4 6 <br /> Pr-oposed Setbacks: � <br /> Front(Lake): �� Right Side: � b(�� �' <br /> Rear(Street): J�� � � Left Side: ��� �' <br /> Adjacent Structures: It/� � I�, Wetland.• �t/�� <br /> Bt�ilding Height: Def.Hgt. � . �-- Peak Hgt. <br /> � <br /> Lot Cover-age: �11(✓� <br /> Grading: StcffApproval Date: -- By: Coa�ncil Appr-oval Date: <br /> Septic: StaffApp��oval Date.• — By: <br /> Zoning File: # ^ Resolution: # Resohrtion Date: <br /> Shoreland District: /1,� <br /> Avg. Setbuck: BluffSetback: LotCovemge: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcove�� Variance Requir-ed: Yes No Date of Council Approvul: <br /> REMARKS(in house): <br /> 33 <br />