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� <br /> � �_ • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �-1 g S p X i'�a-✓� � A✓-� <br /> PID: <br /> DESCRIPTION OF WORK: f�-e�u,o".e rv�s vot�� t �,.� <br /> ------- -___----------------- - -------------------------------------------------L��-----S--- <br /> ZONING REVIEW BY: �� DATE APPROVED: � c�.� <br /> BUILDING REVIEW BY: DATE APPROVED: r��� <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 PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /�-o �'�(�4r�b.a��� <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 ide: <br /> Rear(Street): Left S e: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <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: Bluff Setb ck: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />