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�"� � CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �Z�� SF'H�'��W��d pID: <br /> DESCRIPTION OF WORK: ��OUl�1l��� <br /> -------------------- - <br /> -- ----------------------------------- <br /> ZONING REVIEW BY: v�,. DATE APPROVF.D: C� 'L� '�1 y <br /> BIIII,DING REVIEW BY: DATS APPROVED: � " 2-7�Y <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 Units OTHER ( specify) <br /> ----------------------------------------- <br /> ZONING CHECR LIST Zoning District: G/C '/� <br /> Fire Department: O"v /C- Post Office: /��L School. District: /� <br /> Lot Area: � (� 2,r0 3 Width: Depth: <br /> � <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: ,� ,,r <br /> F.�-� (Lake) : l.3S �" Right Side: /� <br /> Re��- (Street) : NlI�- Lef t Side:� ��� � <br /> Adjacent Structures : /4' Wetland: ��/4 <br /> Bui�ding Height: Def . Hgt. O • ��' Peak Hgt. <br /> Avg. Setback: N j� Lot Coverage: 13 /v y <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' Z`� �/� 2�.�j �� <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date : <br /> Septic: Staff Approval Date: BY= <br /> Zoning File• # (��13 ResoJ�ution # : 33g ^3 Reso�ution Date: Z-��/- <br /> � ��F�-�. - c-�_, i _ .n� � <br /> REMARKS (in house) . <br />