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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 92-S OLd (...1bNC, LA ice l2A'r <br /> PID: <br /> DESCRIPTION OF WORK: NG(.-.J oe,S• <br /> ZONING REVIEW BY: DATE APPROVED: /o <br /> BUILDING REVIEW BY: /L -- DATE APPROVED: .o-13--o Y <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 CONNECTION <br /> INVESTIGATION FEE Yes No L.. * PARK FEE <br /> SAC Yes No t/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: A. /4 <br /> Fire Department: Post Office: School District: _.. <br /> Lot,tr•ea: Stift. 5 ,Ni5 .'5 Acres 1. 3-)S. Width Depth <br /> Survey Submitted: Yes___K____ No Date of Survey: 9-t 3-0`y <br /> Proposed Setbacks: <br /> Front(Lake): SORight Side: 3c P <br /> Rear(Street): .35a Left Side: 30' <br /> Adjacent Structures: N A Wetland: <br /> Building Height: Def Hgt. i 1. Peak Hgt. <br /> Lot Coverage: N I A n^ <br /> Grading: Staff Approval Date: ID -13 -o'% By: (1,0 • Council Approval Date: — <br /> Septic: Staff Approval Date: N (A By: <br /> Zoning File: #04.303$ Resolution: # S2'3 Resolution Date: B-S -0 Y <br /> ci.a fteattitgAicyr04.4i <br /> Shoreland District: Na <br /> Avg. 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 /> REMARKS(in house): <br /> 31 <br />