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' - . CHECX OFF LIST FOR ISSIIANCE OF PERMITS <br /> - ' FOR OFFICE USE ONI�Y <br /> ADDR.ESS OR LEGAL:__)_��1 �p `> � �(5-��'l� I-.lti--� PID:�7- /J 7� :�3 �-'�=-y? CJ�%(t: I <br /> DESCRIPTION OF WORR: � ' � �� `'�� v C� ����n <br /> ------------------------- ------ ----- <br /> ZONING REVIET�7 BY= DATE APPROVF�D: g"� �'S3 <br /> BIIII,DING REVIEW BY: d� � DAT$ APPROVED: ��l� ' �? <br /> -------------------- - <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 � SITE INSPECTION <br /> Number of SAC IInits OTFiER (specify) <br /> -----------------------------------Zoning District----��-/(�--------------=-- <br /> ZONING CHECR LIST ' <br /> Fire Department: !�^-��� Post Office: <br /> ,�2.a.� School District: /L�'� <br /> Lot Area: i✓!�- Width: Depth: <br /> Survey Submitted: Yes D< No Da�t^e o�f S��u_rvey: <br /> Proposed Setbacks: �vi � <br /> Front (Lake) : N �/� Right Side: <br /> Rear �Street) :_ ��� Lef t Side: (v� <br /> Adjacent Structures : �� � '� Wetland: /��/� <br /> Building Height: Def. Hgt. C9 � (� Peak Hgt. <br /> Avg. Setback: /J�/�- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' 2i .37 «'�Y �v <br /> 500-1000 ' <br /> Hardcover Variance R uired: Yes No Date of ouncil Approval: <br /> Grading: Staff Appro 1 Date: By C un il Approval Date: <br /> Septic: Staff Appro al. Date: By' <br /> Zoning File:# Reso�u ion � : Re olution Date: <br /> �F.IKARRS (in house) . <br />