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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 6�i 3 ILC-.u-ti Av G- <br /> PID: <br /> DESCRIPTION OF WORK: �vE[,�r AOD ir►o�► - 2r•� ._s�v�v <br /> ZO�iIVG REVIEWW BY: ,�,_ DATE APPROVED: I-2-7•o Y <br /> BUII.DI�TG REV�`i� BY: DATE APPROVID; �.z�,a� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAi�1 REVIEW Yes .i' No SEWER COi�TNECITON <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 /> ZO1VI��1G CH�CK LIST Zoning District: L2•�(3 <br /> Fire Department: Post Of �9 . <br /> � � <br /> Lot Area: Sq.ft. 33,2y l Acres_� _ <br /> , <br /> Survey Submitted: Yes_ c� i/�CJ G��4 L��GC'�C <br /> Proposed Setbacks: 7'"-e� <br /> Front(Lake): Zo � � �Z/� /�3 <br /> �� � � <br /> Rear(Street): N L 1 � � ���O��, <br /> Adjacent Structures: - <br /> Building Height: Def. Hgt. 0.(c `,�-� � � <br /> Lot Covera�e: N•C . - <br /> �" �.Q - GZa ��7Z,� 7 <br /> Grading: Staff Approval Date: — z�g�b� <br /> Septic: Staff Approval Date: — � <br /> Zoning File: # 051-Zg � Resolutic <br /> Shoreland District: �-�s <br /> Avg. Setback: N f A __ _ _ _ _._ _ _ ._ — <br /> Hardcover: 0-75 _ _ <br /> 75-250' <br /> 250-SQO' _.._.. <br /> 500-1000' <br /> Hardcover Variance Required: Ye � <br /> RENiARKS (in house): .— <br /> 7 <br />