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.. . . <br /> CHECK OFF LIST FOR ISSL/AlYCE O.F PER�ti�fITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: 343� 51 Lv C►Z w�G A o 6 w t�R <br /> PID: <br /> DESCRIPTIOtY OF YflORK: tjAsGnn�r T F�n+�s�� <br /> -------------------------------------------------------------------------------------------------- <br /> ZOtVI�VG REVIE tV B I`: DATE APPROVED: � <br /> BUILDI�VG REVIEW BY: — D.�TEAPPR06'ED: /- rr� -o� <br /> --------------------------------- - <br /> FEES TO BE CHARGED: tL'Iisc. Fees Calculccted By: <br /> PERII�IIT Yes � No <br /> PLAN REVIEGV Yes � �Vo SEYVER COtViVECTION <br /> ST�1TE SURCHARGE Yes _� tVo tiVt1TER COtV�VECTIOtV <br /> It�IVESTIGATIO�V FEE Yes tVo PARK FEE <br /> SAC ,Yes No SITE NSPECTIOtV <br /> Ntunber af SAC U�tits OTHER (specify) " <br /> --------------------------------------------------------------------------------------------------- - <br /> ZO�VING CHECh'LIST ZO�ti�ta D1Sh'iC[.• /UO c�-tt47✓S,P <br /> Fire Departrnerrt: Post Office: Sc/iool Dist�'ict: _.. <br /> Lot.�rea: Sq.ft. Acres GVidtlr DepNi <br /> Scuvey Subrriitted: Yes No Date of Scuvey: <br /> Proposed Setbacics: <br /> Fror�t(Lake): Right Side. <br /> Renr•(Sn•eet): Left Side: <br /> Adjacent Str•t�ctures: Y tland: <br /> Building Height: Def. Hgt. cck Kgt. <br /> Got Covernge: � <br /> GrRding: StRff.4pprovccl Date: By: Council rlpproval Da�e: <br /> Septic: Staff.�tpproval Dc�te: 1- � ""� By: o'�-G. S'ai Ta n►�. .i'BR. sY�rL-� <br /> Zoni�:g File: # Resolution: Resolution Dnte: <br /> Shorelancf Disd•ict: <br /> Avg.Setbnck: Blu tbnck: Lot Coverage: <br /> Eiisting Proposecl <br /> Hardcover: 0-7�' <br /> 75-250' ' <br /> 250-500' �— <br /> 500-1000' <br /> Hardcover Variance Rec�ccired: Yes o Date of Coiuicil�lpproval: <br /> REt1�lARK�(ir�Itoccse)c <br /> 31 <br />