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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE E ONLY <br /> ADDRESS OR LEGAL: %���� ��='�_- ��l't��' <br /> PID: E��=f 1'7-�--� �'1�2- �d�� - - - <br /> DESCXIPTION OF WORK: J�1�=v�' ��"TY�-e��' � _�`�-Gt= <br /> --------------------------------- -- ---------------------------------------------------------- .----- -- <br /> ZONING REVIEW BY: ,/� ��! DATEAPPROT�ED: `D� 'Z� n 6 <br /> BUILDINGREVIEWBY.• DATEAPPROijED: �� - 2(a. • (�to <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 r/ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Nirmbe��of SAC Urrits OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Drstrict: �-��" , � <br /> Fire Departn:ent: C��� Post Office: �`k'�``�'� School Districl: <br /> q �/ �- ` � ' `t- <br /> Lot A��ea: Sq.fi. !�J� Acres Q � -3 1 Width 1�°S �� Depth �?G <br /> Sirrvey Sirbnzitted: Yes � No Date of Stuvev: d �c� (.� �' <br /> Proposed Setbacks: � <br /> Fron+�Lake): �J �' Right Side: � � <br /> t �- / <br /> -Reerr(Streel): 2-� � Geft Side: -� <br /> i <br /> Adjacent Structures: �� � Wetland: ��� <br /> � I <br /> Btri(ding Fleight: Def Hgt. �� -� Peak Hgt. �� �- <br /> i�' � `� ��� �,6 �� <br /> Lot Coverage: r G? �' � l.�L,�r'-,� L-��—��t" <br /> � ���� <br /> Grading: StafJAppi•ova!Date: (�� By:� Council.4ppr•oval Date: �a r�3 `� b <br /> Se��tic: StaffAppr•oval Date: �- By: <br /> 7_vning File: # �(' ��� Resolution: # �� j Resolzrtiorr Date: �� ? � � � <br /> Shoreland District: E�� R�IC�F�D Perrriit � <br /> Atig. Setback: Bh ff Setbacic: Lot Coverage: __ <br /> ' �xisling Proposed . <br /> Ha�•dcover: 0-7.i' � ; � ` �� <br /> ;�-��I/� �� r- [` <br /> 250-.i00' � ' , (�• i-- ` b <br /> sno-ioom <br /> Hcu•dcover �'a��iar�ce Reguir•ed: }es� ���o Date of Council.l pproval. O 23 �� <br /> REMARKS(i�z house): <br /> LM/�i-1�"�"T-� t'�'�y S;%� �'/�G ti' E' t-��i"7c�.�' _ t�"z,^E` t�>=-��'� <br /> ,,�� i�r'�� �=.� <br /> 33 <br />