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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRES� OR LECiAL: s s = w A�o <br /> PID: <br /> DESCRI ION OF WORK: � C2e,o� Z�,�n,�.A�c:Z <br /> ------------+----------------------------------------------------------------------------------- -------- <br /> ZONING REVIEW BY: I i9 DATE APPROVED: . <br /> BUILDING REVIEW BY: �— DATE APPROVED: 2-� -�y <br /> ------------+---------------------- --------------------------------------------------------- ------ <br /> FEES TO'BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REWIEW Yes r/� No SEWER CONNECTION <br /> STATE Si�RCHARCTE Yes � No WATER CONNECTION <br /> INVESTIC�ATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------»------------------------------------------------------------------------------------ ----- <br /> ZONING GHECK LIST Zoning District: ivc� Ch�s4-rvqQ <br /> a- i <br /> Fire Department: Post Office: School District: <br /> Lot Area: 5q.ft. Acres Width Dept <br /> Survey Subm�tted: Yes No Date of Survey: <br /> Proposed Setbacks: I <br /> Fro�t(Lake): Right Side: � <br /> Rea�(Street): Left Side: <br /> Adj�cent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak H . <br /> Lot Coverags: <br /> Grading: St�ff Approval Date: y: Council Approval Da e: <br /> Septic: Staff Iqpproval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg;Setback: Blu Setback: L o t C o c e r a g e : <br /> Existing Proposed <br /> Har�lcover: 0-75' <br /> �'i 75-250' <br /> ' 250-500' <br /> 500-1000' <br /> Har cover Variance Required: Yes No Date of Council Approval: <br /> REMARK� (in house): <br />