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� <br /> . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t(�O �dL,p� �(�LW rpR <br /> PID: <br /> DESCRIPTION OF H'ORK: K �'Tc.�1�,�, �'?.�;,,,�„e b-e� <br /> ZONING REVIEK'BY:• �1 � DATEAPPROitED. `Y^y � <br /> B UILDING RE[�IEiN'BY.• DATEAPPRO i�ED: i•zy .0 5 <br /> FEES TO BE CHARGED: Misc. Fecs Calculated By���Y____�_�____ <br /> PERMIT �'es ✓ No <br /> PLAN REi�IEW Yes_�/ No SEWER CON.NECTION <br /> STATE SURCHARGE Yes_�/ No u�ATER COIVNECTIO.N <br /> INVESTIGATION FEE 3'es No_�� PARK FEE <br /> SAC ��"es No__� SITEII�'SPECTION <br /> Numbe��ofS.4C Units OTHER (spec�) <br /> ---------_____________�___--------------------- <br /> ZONING CHECIi LIST Zoning Dist��ict: �0 C!-h4r✓C'oQ <br /> Fire Depm�tnzent: _ Post Office: School District: <br /> Lot A�•ea. Sq.ft. Acres YGidfh Depth <br /> Su�-vey Submitted: 3'es No Date of Su�vey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Si e: <br /> Rear(Street): Left S� e: <br /> .9djacen[Structin-es: N�etland: <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Slaff App�•oval Date: BY Counci!Appr-ova!Date: <br /> Septic: SiaffApproval Date: By; <br /> Zoning File: � Resolution: # Resolution Date: <br /> Shoreland District: AICLTD Pe��mit: <br /> .Avg. Setback: BlzrffS back: LotCol�erage: <br /> Faisting Proposed <br /> Hardcoi�er: D-��' <br /> 75-'�0' <br /> '.i 0-�DO' <br /> 500-1000' <br /> Har•dcover 1 ariance Reguired: I'es No Date of Coamcil,9pproval: <br /> RE11LgRhS(i�r liouse): <br /> 3 <br />