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- n CHECK OFF LIST FOR ISSUA�`iCE OF PER�tiII'TS <br /> FOR OFFICE USE ONLY <br /> :�DDRESS OR LEG:�L: i Z�� No�n-� A�/�--- PID' <br /> DESCRIPTIO\ OF �j'ORh: �^�' `^'�o'�^�' ��-''�'�"� `�'''� <br /> 7.0\�G REV�ZV BY: J'Jl� DATE APPROVED: <br /> BL�.DL\G REVIEtiV BY• DATE APPROVED: //- z z-ss <br /> FEES TO BE C�L�RGED: Misc. Fees Calculated By: <br /> PER�IIT Yes � �o <br /> PL�� RE`�E�V Yes No f SE`VER COiVv�CTION <br /> STATE StiRCH.-�RGE Yes � No �VATII� CONiVECTION <br /> INVESTIG?�TIOv FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of S�C Uni�s OTHER (specify) <br /> ------------ <br /> ZO\L\G CHEC�i LIST Zoning District: Shoreland District : <br /> Fire Department: Post O�ce: S ool District: <br /> Lot Area: Sq.ft. Acres Width D pth <br /> Survey Submicced: es No Date of S rvey: <br /> Proposed Setbacks: <br /> Front (Lake) Right de: <br /> Rear (Street : Left ide: <br /> Adjacen� ructures: Wetland: <br /> BuiIdin� Height: ef. Hgt. Peak H;t. <br /> Avg. Setbacic: Bluff Set ack: Coverage: <br /> Existing oposed <br /> Hazdcover: �-��' <br /> 75-Z50' <br /> ?50-�00' <br /> �00-1000' <br /> Hardcover 'ance Required: Yes No Date of Council Approval: <br /> Gradine; S aff Approval Date: B : Council :�oproval Date: <br /> Sepcic: St ff approval Date: �� <br /> Zoain� Fi e: ; esolucion: � Resolution Date: <br /> ��, (in hOuse): <br /> 26 <br />