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CHECK OFF LLST FOR ISSUAriCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: t 2�s L`I�'►��4n1 �vG <br /> PID: <br /> DESCRIPTION OF WORK: (2�.nn.o��t't, t ����� <br /> ZONING REVIEW BY: C�^--- DATE APPROVED: .•�-�6 -gL = <br /> BUII�DING REVIEW BY: <br /> DATE APPROVED: S-/6• �t L � <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT . Yes f No <br /> PJ�AI�J gEVIEw Yes v' No � SEWER CONNECTION <br /> STATE SURCHARGE Yes �No WA"I�R CONNEC7CION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No _ STI'E INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: Q R-1 r3 Shoreland Disuict: I�t� <br /> Fire Department: L o n�� Post Office: w A��it� School District: (�(��s c� _ <br /> Lot Area: Sq.ft. NO CM�^� Acres Width Depth <br /> Survey Submitted: Yes _� No Date of Survey: S-� ��f�o <br /> Proposed Setbacks: � _ <br /> Front (Lake): 1� �/�r Right Side: {6� <br /> Reaz (Street): /5�� '!" �fr Side: 1 10 � '� <br /> Adjacent Structures: A�'�7°►C.i}6� Wetland: ��� 'F- <br /> Building Hei t: Def. Hgt. Pe� �• <br /> Avg. Setbac Bluff Set ack: Lot Coverag : <br /> Existing Proposed <br /> Hardcover: 0-7 ' <br /> 75-2 ' <br /> 250-5 ' <br /> 500-1 ' <br /> Hazdcover V 'ance Requir : Yes No Date of Co cil Approval: <br /> Grading: St Approval Date. y: uncil Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # R oluti n: # Resolution Date: <br /> (in h0use): <br />