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. <br /> CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: l�-+5 3 PPr2t� �O R . <br /> PID: <br /> • DESCRIPTION OF WORK: ��T,o,c�..�� ��,q.�t�-ta� 4 <br /> ---- ---- -----------------------------------------------______--�`9 q <br /> ZO�TING REVIEW BY: � DATE APPROVED• 9 <br /> BUILDI�iG REV�W BY: DATE APPROVED: �i � � -�5 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes v- No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes _,L No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � � STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: L�-/�3 . <br /> Fire Department: Y!/t.���.-w� Post Office: ���./.1 School Disuict: w P'STON�� � <br /> LotArea: Sq.ft. t7. I5`� Acres - 35 � Width Sz' Depth 3c� ` i <br /> Survey Submitted: Yes �� No Date of Survey: `�'L-�`4 S �I <br /> Proposed Setbacks: � � ', <br /> Front Lake : �'I� "� lti t Side: Z- , <br /> ( ) Sh <br /> 0 <br /> Rear(Street): ( �� �'} Left Side: O <br /> Adjacent Structures: �,3 Wetland: I1/ �(� � <br /> Building Height: Def. Hgt. (� ��� Peak Hgt. '-' <br /> Lot Coverage: — ' <br /> \ <br /> Grading: Staff Approval Date: (2-�`f-S`� By: ��^��'`Council Approval Date: <br /> Septic: Staff Approval Date: �✓�✓-� By: <br /> Zoning File: # 2 3��o . Resolution: # `-r 2�3 Resolution Date: <br /> Shoreland District: ye� <br /> Avg. Setback: it/�/l Bluff Setback: /✓(/1- Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' 37 O �4.'3 �•3 <br /> 75-250' �a.93 , Zs•�`� <br /> 250-500' �4.2? YL.YY <br /> 500-1000' <br /> Hudcover Vaziance Required: Yes,�_ No Date of Council Approval: i Z'/�'S� <br /> REMARKS(in house): <br /> 7 <br />