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' CHECx OFF LLST FOR ISSUANCE OF PERMITS <br /> " FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: "�s�s L�-r��� ,4,1-� <br /> PID: <br /> DESCRIPT'ION OF WORK: Fi2.� 1��a�- ��s� ci►^��- �-« �•�°•^`e-,, r � Go� <br /> ZONING REVIEW BY: �/� DATE APPROVID: <br /> BUII..DING REVIEW BY: DATE APPROVED: ; � -9�- 9 S <br /> ------------- --------- ' <br /> FEES TO BE CHARGED: :vlisc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pL� g��W Yes No J' SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION _ <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPEC'I'ION <br /> Number of SAC Units OTHER (specify) <br /> -------------___------ <br /> ZONING CHECK LIST Zoning District: Shoreland District : <br /> Fire Department: Post O�ce: Scho D strict: <br /> Lot Area: Sq.ft. � Acres idth DeP� . <br /> Survey Submitted: Yes No Date of ey: <br /> Proposed Setbacks: <br /> Front (Lake): 'ght Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: i Wetland: <br /> , <br /> Building Height: Def. gt. Peak H . <br /> Avg. Setback: � Bluff Setback: Lot o rage: <br /> Eusting Propose <br /> 1 <br /> Hardcover: -75' , <br /> 5-250' <br /> 250-500' <br /> 500-1000' � <br /> Hardcover V 'ance Requir : es No Date of Council pproval: <br /> Grading: taff APProval Dat�: By: Council pproval Da[e: <br /> Sepric: taff Approval Date: By� <br /> Zoning File: # Resolution: � Resolution�Date: <br /> g�V1Ag][�S (in hOuse): <br />