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� . <br /> � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 5� (�U 0 2�'C-� 5 l��(.t O(Z <br /> PID: �'' <br /> DESCRIPTION OF WORK: (�-�. � ..�.c (�}-¢o (—',/t,c PNc� <br /> ---------------------------------------------------------------------------------------------------F'11�tt�#_Ltt�.�-Cc3�,2� <br /> ZONING REVIEW BY: N(� DATE APPROVED: <br /> BUILDING REVIEW BY: � Q ,�,., DATE APPROVED: y-Z� -g� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No � SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: pti� C �,�.0 <br /> Fire Department: Post Office School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left ide: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> I <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resoiution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluf�Setback: Lot Coverage: <br /> Exis ing 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 /> REMARKS (in house): <br /> 7 <br />