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� � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> �OR �FFICE USE ONLY <br /> ADDRESS OR LEGAL: /7�U S/fr4/JyG�Od/7 20� PID: <br /> - , <br /> DESCRIPTION OF WORR: �CNI.c/��C- - S���a2 c���-y ��Q-y C..�cN�o�.�5 Non+ i�cz.o�vcL.vr�.--�5� <br /> � ----------------------------------------------------- ----------- <br /> ZONING REVIEW BY: ���- DATE APPROVED: <br /> BUILDING REVIEW BY: �} �--- DATE APPROVED: Z-2 S-`'7� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By• <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE YeS �-NO �- pARKRFEENNECTION <br /> INVESTIGATION FEE Yes No <br /> SAC Yes No � SITE INSPECTION <br /> Vumber of SAC Units OTHER (specify) <br /> ----------------------------------------- <br /> ZONING CHECR LIST Z ning District: <br /> ?ire Depart � nt• Post Off ' ce: chool District: <br /> Lot Area: Width: Dept : <br /> 3urvey Su itte : Yes No Da e of Survey: <br /> Proposed etback : <br /> Fron (Lake) : Ri ht Side: <br /> Rear (Street) • Le t Side: <br /> Adja ent Struc ures : Wetland: <br /> 3uilding eight: De . Hgt. Peak Hgt. <br /> �vg. Setb ck: Lot Coverage: <br /> I E isting Proposed <br /> 'ardcover• 0-75 ' <br /> ', 5-250 ' <br /> 2 0-500 ' <br /> 50 -1000 ' <br /> ardcover ariance Requir d: Yes No Date of Council A proval: <br /> rading: S aff Approval D te: By: Council Appro al Date: <br /> eptic: St ff Approval Dat : BY� <br /> �ning Fil :# Re lutio # : ' Resol.ution Date: <br /> @�I�iRKS i house) : � .. <br /> ( <br />