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CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> . ' ' • FOR OFFICE USE ONLY <br /> ADDRBSS OR LEGAL: Z3� �N'A'��W��� J� pID: <br /> DESCRIPTION OF WORR: N C=W �=S <br /> ---------- ---L`-�-�_----------------------/---�-_�---------------- <br /> ZONING REVIEW BY: � DATE APPROVED Z � .3 �` <br /> � BIIILDING REVIEW BY- �c �^�-�-- DATE APPROVED: � Z� I3 `�7� <br /> -------------------- <br /> FEES TO BE CHARGED: Misc. Fees Cal.cu�ated 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 Units OTHER (specif y) <br /> ------------------ <br /> ----------------g---------_-------1 <br /> ZONING CHECR LIST Zonin District (Z �. '� <br /> Fire Department: L(. Post Office: � �- Schoo� District: p <br /> Lot Area: Z .Lr�l�" t- Width: ����✓�r�r<- Depth: -- <br /> Survey Submitted: Yes_� No Date of Survey: >Z- S-�� <br /> Proposed Setbacks : <br /> Front (Lake) • �S'3•}J Right Side: S�•67 � <br /> Rear (Street) : /9Z� '� Left Side: /.3� � "4" %.J <br /> Adjacent structures : /�//�l wetland: /lf�� <br /> Building Height: Def . Hgt. 'Z�f � Peak Hgt. �`� � <br /> Avg. Setback: /l��� Lot Coverage: /(/ l/� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-l000 � 3�(6`�a <br /> Hardcover Variance Required: Yes No� Date of Council Approval : — <br /> Grading: Staff Approval Date: ! Z - I �j -`7�(By: Counci� Approval Date : ` _ <br /> Septic: Staff Approva� Date: f 2` ��' c►h BY� S�- <br /> Zoning File: # �'- Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />