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� -- CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�� s�{�`I�^'D�`-� PID: <br /> D$SCRIPTION OF WORR: ��W�= <br /> ---------------------- - <br /> --------------------------------Z�--------------- <br /> ZONING REVIEW BY: � �,._ DATE APPROVED: �'z S <br /> BIIILDING REVIEW BY: � DAT$ APPROVED: Z -Z-z-5�r . <br /> ---------------------- <br /> FEES TO BE CHARGF.D: Misc. Fees Calculated By: <br /> PERMIT Yes � Na <br /> PLAN REVIEW Yes �/ N�- 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 /> ------------------------------------ <br /> ZONING CHECR LIST Zoning District: L� `� � <br /> Fire Department: /v �- Post Office:/v C_ School. District: Nf C <br /> Lot Area: � �`I �acn.e S Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: , <br /> � (Lake) : � Right Side: <br /> Rear (Street) : Lezt Side: <br /> Adjacent Structures: Wetland: <br /> Bui�ding Height: Def . Hgt. (o '� � Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <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: Staf f Approva7. Date: BY= <br /> Zoning File:# ��f�� Resolution # : _�r.Z< Resol.ution Date: <br /> REMARRS (in house) : �,�� ?�onr�n, �i c�E �=02 �u�,e.y �� ����C.=S <br />