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� ' <br /> . � •�► CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: �l b S H v�vT�2 ��9sS <br /> PID: <br /> DESCRIPTION OF WORK: sc.f�� Pozy-+ o.s �x�s-+-,��� ��zac <br /> ZO�TING REVIEW BY: N (✓� DATE APPROVED: <br /> BUILDING REV�W BY: L. , (� „� DATE APPROVED: y- �Y-�'� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pI,AN REVIEW Yes _�' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONIVECTION <br /> INVESTIGATION FEE Yes No v� PARK FEE <br /> SAC Yes No v SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZOti'ING CHECK LIST Zoning Districc: N� c�-F�c. <br /> Fire Department: Post Office: School District:. <br /> Lot Area: Sq.ft. Acres W dth Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Sueet): Left Side: <br /> Adjacent Structures: Wetland <br /> Building Height: Def. Hgt. Peak H . <br /> Lot Covera?e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: . . . <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: LotCoverage: <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 />