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. , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR FFICE USE ONLY <br /> ADDRESS OR LEGAL: ,� <br /> PID: �d - !�� - 3 D <br /> DESCRIPTION OF WORK: �2 a���i -� �v-f�.�0 2 <br /> ZONING REVIEVV BY: DATE APPROVED: N1i4 <br /> BUILDING REVIEW BY: DATE APPROVED: � •1 y-g 6 <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 WATER CONNECTION <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 District: <br /> Fire Department Post Office: choo District: � <br /> Lot Area: Sq.ft Ac es Width Dept3� <br /> Survey Submitt : Yes No Date f Survey: <br /> Proposed Setb <br /> Front L e): Ri t Side: <br /> Rear Stre t): Le Side: <br /> Adja ent S ctures: Wetland• <br /> Building Hei t: De . Hgt. Peak t. <br /> Lot Covera . - <br /> Grading: ff Appr val Date: Council Ap oval Date: <br /> Septic: St ff Approv Date: y: <br /> Zoning F' e: # Resolut' n: # Resolution Date: <br /> Shorelan District: <br /> vg. Setbac : Bluff Se ack: <br /> Eaastin Propose <br /> Hazdcover: 0- 5' <br /> 7 -250' <br /> 0-500' � <br /> 00-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 10 <br />