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�. CHECK OFF LIST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> , � <br /> ADDRESS OR LEGAL: ZZ�{O n'c� aE�C-�f (�'°A� PID: <br /> 02�,-, -� �c �5�,� Po�G,� <br /> DSSGRIPTION OF WORR: SCl�� P <br /> ---------------------------------------- <br /> ZONING REVIEW BY: J'(��A _ DATS APPROVED: � <br /> BIIILDING REVIEW BY: (- fit.w� DATE APPROVED: !�' Z/'S� _ _. . <br /> FESS TO BE CHARGED: ^ Misc. Fees Ca�culated By: <br /> PERMIT " <br /> 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 SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------- <br /> ZONING CHECR I.IST Zoning District: <br /> Fire Department: Post Office Schoo District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Y s No Dat of S rvey: <br /> Proposed Setbacks: <br /> Front (Lake) : Ri ht Si <br /> Rear (Street) L ft Sid : <br /> Adjacent Str cture : Wetl d: <br /> Buil.ding Height: Def. t. P ak Hgt. <br /> Avg. Setback: L t Cov rage: <br /> Exi ting Propo ed <br /> Hardcover: 0-7 ' <br /> 75-2 0 ' <br /> 250- 00 ' ' <br /> 500- 000 ' <br /> Hardcover V riance Requi ed Yes Date of Council pproval: <br /> Grading: S aff Approval a e: By: Council� App oval Date: <br /> Septic: S aff Approval. D BY= <br /> Zoning F le: # esolution #: Resolution Date: <br /> RE�SARRS (in house) : NO r�S Td K-p'�P <br />