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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRES�OR LEGAL: Y2�c� ivo 2i7t s I�e.� 0 2 <br /> PID: <br /> DESCRIPTIO�T OF WORK: (_u�a►,�c,p /Lov r- P�rcr!-� sa�3o�e C�A-rl,�C�e <br /> ZO�i�TG RE'VIEW BY: DATE APPROVED: `�.D c��,►� <br /> BUII..DING REVIEW BY: DAT'E APPROVED: �o--/Z-�S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONII�TG CH�CK LIST Zoning District: N'c� Glf���Q . <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sc.ft. Acres � Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front(L,ake): Ri Side: <br /> Rear(Street): Lef Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera;e• <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: BI ff Setback: L.ot Coverage: <br /> E sting 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 /> REIi�IA�tKS (in house): <br /> ., <br />