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CHECK OFF LIST FOR ISSUAI�iCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> �iDDRESS OR LEGAL: � �S' ; ��C `���f ° � � :� ��-- <br /> PID: <br /> DESCRIPTION OF WORK: y-�.� . C <br /> ZONING REVIEW BY: DATE APPROVED: y- z s- 5 � <br /> BUII..DING REV�W BY: /vt/.F DATE APPROVID: <br /> FEES TO BE CHARGED: 6�j0�^'..y M�sc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIE`y yes No ✓ SEWER CONNEC'I'ION <br /> STATE SURCHARGE Yes No WATER CONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPECITON <br /> Number of SAC Units OTHER (specify) <br /> --------------------------- <br /> ZO�TING CHECK LIST Zoning District: L2-/�- Shoreland District : 4�P5 <br /> Fire Department: Post Of e. chpe�-District: <br /> � ' /J <br /> Lot Area: Sq.fr. Acres <br /> i � �'� Depth <br /> Survey Submitted: Yes �C _ <br /> No Date of Survey: � �Z "`1 �3 �N '�� <br /> Proposed Setbacks: � 5� ' <br /> Front (Lake): G� Right Side: � <br /> �� fi <br /> Rear (Street): I.eft Side: <br /> Adjacent Structures: Z� � � Wetland: N I/} <br /> Buildi.ng Height: Def. Hgt. Peak Hgt. <br /> Av;. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> ,� Hardcover Variance Required: Yes No Date of Council Approval: <br /> � Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution: # Resolution Date: <br /> I7��Vl[AgK�S (in house): <br />