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• . ,,,�, � <br /> �CHECIK OFF �.IST FOR ISSUANCE OF �E�2MITS <br /> FOR OFFICE USE ONLY� � <br /> ADDRESS 4R LEGAL: z��S rH A P�R��J�� c-a,Ne <br /> PID: <br /> TJESCRIPri'IO�T OF WORK: Qzrv�c��� G/�-�� — <br /> --------------------------- <br /> r .�i G REVIEtiV BY: ---- �p`^___��_ DAT'E APPROVED: �� •`�'-o` <br /> ZO� � <br /> gUILDIN'G REV7�tiY BY: . <br /> � , . DATE APPROYED; !a •5 - �' . <br /> FEES TO BE CHARGED:` � Misc. Fees Calculated By: <br /> P�g�T Yes � No <br /> PLAN REVIE`V � Yes _�� No SE�VER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE �eS , No � STT INSPECTION <br /> SAC OTHER (specify) <br /> Number of SAC�Units �. <br /> ZOYIi�IG CH�CK LIST Zoning District: . <br /> Fire Department: Posc Office: , School Dis[rict: • ' <br /> L,oc Area; Sq.ft. Acres _ Widch Depth <br /> Survey Submitted: Yes v� No Date of Survey: /I-5-�`�c. �.�4tT ��v�5�i" lo-b-a(o <br /> Proposed Setbacks: � �� • ; <br /> Front(Lake); 2�70 -�' Right Side: _ , <br /> Rear(Street): b 7�� Left Side: .3`�y <br /> Ad;acent Struckures: '1 5 � Wetland: Y3 ' �-'-��'`�'?"°'� r�'`�'� <br /> Builclin; Heipht: Def. Hgt. c�, �- Peat:Hgc. <br /> Lot Covera?e: �°7° f <br /> L Council A roval Date: <br /> Grading: Scaff Approvat Date: l�'9 -0,6 BY: �1 pP <br /> Szptic: Staff Approval Date: 'V � BY� w� <br /> Zoaing File: �_= Resolution: k _ Resolutioa Date: <br /> Shoreland Districc: v.PS _ �v + <br /> Av�. Setback:r N �� Bluff Setback: N(✓� P OC�°5 a�e: � � <br /> Ecistino P <br /> Hardcover: 0-75' y.S ,� <br /> 75-250' 2 <br /> 2�0-SQO' 2�.7 <br /> 500-1000' � <br /> Ha.rdcover Va.ri2nce ReGuired: Yes No o'� Da�z o�Cowcil Approvz: <br /> R.EtiL�S (in house): <br />