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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /`1 Z v ��f42�(a�� �/z <br /> PID: <br /> DESCRIPTION OF WORK: =r•tTt;�Yt,��R r=,�„s,.� <br /> --------------------------------------- ------------------------------------------------------------------------------- <br /> ZONING REVIEV'� BY: DATE APPROVED: f3 -�2-5 � <br /> BLTILDING REVIEW BY: DATE APPROVED: �- � 2-'f L <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v- No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No �� PARK FEE <br /> SAC Yes No �SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Offce: School District: <br /> L,ot ea: Sq.ft. Acres Width Depth <br /> � <br /> Sur y ubmitted: Yes No Date of Surv y: <br /> Prop sed etbacks: <br /> F nt (Lake): Ri t Side: <br /> Rea (Street): L t Side: <br /> Adjac nt Structures: Wetland: <br /> Build ng Height: Def. Hgt. Peak Hgt. <br /> Lot verage: <br /> Grad g: Staff Appr al Date: By: Council Approva Date: <br /> Septi : Staff Approval ate: By: <br /> Zoni g File: # Resolut on: # Resolution Date: <br /> Shor land District: <br /> Avg. Setback: Bluff Set ck: <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 /> REMARKS (in house): <br /> 10 <br />