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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 5 6Q ,�(� P(A�� <br /> PID: <br /> DESCRIPTION OF WORK: �,o�e� � <br /> ZONING REV�W BY: _r/ /� DATE APPROVED: <br /> BUII.DING REVIEW BY: DATE APPROVED: 3-/�• S r� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> pLAI�T REVIEW Yes �o li SEWER CONNECTION <br /> STATE SUR�HARGE Yes No WATERCOrfNECfION <br /> INVESTIGAZ'ION FEE Yes No v' PARK FEE <br /> SAC Y;,s No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -- ------------------- -----------------------------------------------_________--- <br /> ZONING CHECK LIST Zoning District: <br /> �N� 6���GG <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): _ Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> . g��g Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REI�ZARKS(in house): . <br /> • 26 <br />