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. CHECK OFF LIST FOz2 ISSIIANCE OF PERAiITS <br /> ' FOR OFFIC� US� ONI,Y <br />::iDDR.ESS OR LEGAL: I ` ,/ � '�''L" PID: l� � /! � � �-' � `� f�'/ � <br /> 1 /�L.�-L(_�l.< 1 L.ti..�" <br /> � <br /> PTION OF WORR: �2C� � �- /�-�-2/ I�i:t"'./`- ..... G i�a�i� �D — <br /> I3ESCRI-------------------------------- ------------------�--- <br /> :ONING REVIEW BY: OV I t� DAT`E APPROVED- <br />'�IIZI,DING REVIEW BY: DATE APPROVED: �d "�l r��1 3 <br /> --------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> ?ERMIT Yes �No � . <br /> ?LAN REVIEW Yes�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes�_ No WATER CONNECTION <br /> TNVESTIGATION FEE Yes No �/' PARK FEE <br /> �AC � Yes No � SITE INSPECTION <br />�iumber of SAC IInits OTHER (specify) <br /> --------------------------- g <br /> ZONING CHECR LIST Zonin Di trict: <br /> Fire Department: Post Office: School ' strict: <br /> Lot Area : Width: Depth: <br /> Survey Submitte : Yes No D te of Su vey: <br /> roposed Setbac s: <br /> Front (Lak ) : ight Sid : <br /> Rear (Stre t) : Left Side: <br /> Adjacent S ruc ures : Wetland: � <br /> '?uilding Heigh : D f . Hgt. Peak H <br /> �?vg. Setback: ' Lo Coverage <br /> xisting � roposed <br /> �iardcover: 0- 5 ' <br /> 75-2 0 ' <br /> 250- 00 ' <br /> 500-1 00 ' i <br /> :ardcover V riance Re uired: IYes <br /> o ate of Council App val:__ <br /> 'srading: St ff Approva Date: ' <br /> gy; Council Approva Date: <br /> Septic: Sta f Approval. ate: ` <br /> �oning Fil :� Res I.ution Reso�ution Date� <br /> ?F�tARKS ( ' house) : <br />