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• ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �0 0� ►-{C lZ 1 TA C�t. CJ��1�- <br /> PID: <br /> DESCRIPTION OF WORK: I��t� t �(�Z„��3o <br /> ------------------------------------------------- ---------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: � - 9 -� � <br /> BLTILDING REVIEW BY: DATE APPROVED: � -9 -5�8 <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Districr. L(L-I A <br /> Fire Department: � Post Office: wqTZ,,,v.Tye- School District: ptZ.eNp <br /> Lot Area: Sq.ft. '�(�,�d 9 3��' Acres I Width �-v 1��( k�:Depth Z t I .Z Z <br /> Survey Submitted: Yes� No Date of Survey: �-S-?3 <br /> Proposed Setbacks: t>ec,K laA2��O p�L1� (�z�;40 <br /> Front (Lake): �� I Z5�t Right Side: /SU�� !S� �� <br /> Rear (Street): I )Z�% �75�� Left Side: 3�� S��� <br /> Adjacent Structures: 2 ( � � f"oo( Wetland: /1���" <br /> Building Height: Def. Hgt. /lJ (✓d� Peal:Hgt. — <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: �" f_� " ( `y By: �,'��=�=/ <br /> (�. Zoning File: # Resolution: # Resolution Date: <br /> �'I"� <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />