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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ?YS n pq.ICt( PID: <br /> DESCRIPTION OF WORK: 1" -RSA it',) <br /> ZONING REVIEW BY: 1:1 - if DATE APPROVED: 9-z�-9S <br /> JLV <br /> BUILDLNG REVIEW BY: • •; �` - DATE APPROVED: 4- •55 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes L. No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> y I ECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIM, INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO\LNG CHECK LIST Zoning District: R2'Ir► <br /> Shoreland District <br /> Fire Department: iMRPuS khet;pv <br /> Post Office: 1cL School District: n taonso <br /> Lot Area: Sq.ft. No Gt+ANQi, <br /> Acres Width -- Depth — <br /> Survey Submitted: Yes � No Date of Survey: pN <br /> Proposed Setbacks: <br /> Front (Lake): 4001 C Right Side: toot <br /> Rear (Street): 6,504 t () Left Side: 2-q®*' <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. 1 4-1•S Peak Hgt. 1"7 <br /> Avg. Setback: Bluff S- back: £ Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-2' <br /> 250- 10' <br /> 500-1100' <br /> Hardcover Variance Re i uired: s No Date of Co cil Approval: <br /> Grading: Staff Approv• Date: B : Coun'' Approval Date: <br /> Septic: Staff Approval s ate: :y: <br /> Zoning <br /> o File: # Resol •n: # Resolutio' Date: <br /> REMARKS (i <br /> in house): owns e2 win)sr - tbN ..0 - cc.t. - -mete" <br /> GOvCN '...Jr • • - <br /> 26 <br /> C-1 <br />