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� <br /> • � CHECIi OFF LIST FOR ISSU��CE OF PERI�IITS <br /> FOR OFFICE USE ONLY <br /> �iDDRESS OR LEGAL: ti3no r'�-�'`'�`� �'k' G'z <br /> PID: <br /> DESCRIPT'ION OF `VORK: ��J�n a� 'T� � <br /> ------------- -------- <br /> ZO�tING REVIE`V BY: DATE APPROVED: �- � r- I-�r 5 <br /> BUII.DING REVIEW BY: DATE APPROVED: � � - t-�s 5 <br /> - -------------------------- <br /> FEES TO BE CHARGED: �Iisc. Fees Calculateci By: <br /> PERMIT Yes ✓ No <br /> PL�'�t REVIE� Yes � No SEWER COi�TiVECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION ________ <br /> INVESTIGATION FEE Yes No c/' PARK FEE <br /> SAC Yes No � SITE I�i 1SPEC'ITON <br /> Number of SAC Units OTHER (specify) Y_N � <br /> ---------------------------- <br /> ZONING CHECK LIST Zoning District: Shoreland District : <br /> /u�_�- Fire Department: <br /> Post Office: School District: <br /> L��M.,a Acres Width Depth <br /> Lot Area: Sq.ft. <br /> Survey Submitted: Yes 1� No Date of Survey: C��N 1�=��--�: t � ' Z3`�� <br /> Proposed Se[backs: � <br /> Front (�a): N �d� Right Side: t �� <br /> Rear (�rc�f): lt9o� Left Side: N (A <br /> �djacent Structures: I���r�,c..l�e.� Wetland: N l � <br /> Building Height: Def. Hgt. � �� Peak H�t. <br /> Avg. Setback: <br /> Bluff Setback: Lot Coverage: <br /> Esistin; Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes �o Date of Council Approval: <br /> 1" I� Gradin�. Staff Approval Da[e: By: Council Approval Dace: <br /> Septic: Staff Approval Date: By' <br /> Zoning File: # Resolution: � Resolution Date: <br /> g;�;�y���,S (in house): <br />