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, . � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR Or�F.T.CE iJSE ONLY <br /> 1 <br /> ADDRESS OR LEGAL: .'�``I,�.S S i-}-�;il-�=��{ �.-�`� i .�,�_- PID: <br /> DESCRIPTION OF WORR: ���=_�-' <br /> ------------ <br /> ------- --- . ---- "-------------------- /_"( 2� " <br /> ZONING REVIEW BY•�'' � i DATE APPROVED: cT 3^ <br /> BIIILDING REVIEW BY: !ti l� DAT$ APPROVED: <br /> -------------------------------------------- <br /> FEES TO BE CHARGED• Misnc,�. Fees Calculated By: <br /> • �_ S C 6 N �"�Lc-(- <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 /> ----------------- <br /> ZONING CHECR LIST Zoning District: [S'� <br /> Fire Department• Post Offi'ce: � S�hool. District: <br /> I , �� , <br /> Lot Area: Width: j Depth: <br /> / � <br /> Survey Submitted es No Date of Sturvey; <br /> i <br /> Proposed Setbac s: ` <br /> Front (Lak¢) : Right Side: ; <br /> Rear (Str�et) : Left Side: ,� <br /> � <br /> AdjacentjStructures: Wetland: <br /> r, <br /> Building Heig�t: Def . Hgt. / ! Peak Hgt. <br /> i <br /> Avg. Setback� r'� ��Lc�t Coverage: � <br /> ' �xisti�g ;� Proposed <br /> ; <br /> � <br /> Hardcover: i0-75 ' , � � �� <br /> ,' � <br /> 7�5-250 ' � � <br /> 2�0-500 ' � � � <br /> �� � ' � <br /> 50i0-1000 ' <br /> � ri <br /> ired: Ye ' No Date ofil�Council Approval:_ <br /> Hardcove,� Variance R�q�i �_..._ i <br /> i <br /> Gradings Staff Approvajl Date: By: Co�ncil Approval. Date: <br /> � <br /> Septi c:i S taf f Approvai�. Date: � _ BY= <br /> Zoning File•# � Resolut�:ion # : Resol.ution Date: <br /> REMARRS (in house) : <br /> ��_r��5 S t�, v� ,�'!c:�--'�c,��-�"s Gt-}-�'v��' v �r b�-c�-T o s ( 6 � <br /> — �V� 5l?�e- �.�.* ��`�1 t�'u �(��� f�3L�� L� vv��T-5 <br />