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. �, CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRSSS OR LEGAL: -�: (O�C,� ,,,�(,�,��c�� V,Cr�cc% �,%L PID: j> � /I� `-�� y�Z GGC:� <br /> DSSCRIPTION OF WORR: �<=�T �R 2Pc��" <br /> -------------------- --------------------------------------------------------- <br /> ZONING REVIEW BY: �w.. DAT'E APPROVED: (� - �- 9 �( <br /> BIIILDING REVIEW BY: � DAT$ APPROVED: (9 ��—`� � <br /> FEES TO BE CHARG�: Misc. Fees CaJ.culated By: <br /> PERMIT Yes l 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 /> ZONING CHECR I,IST Zoning District: ���6 <br /> Fire Department: s Offi / S � o� District: <br /> Lot Area: / i h: Depth: <br /> Survey Submitted: Yes �' No Date of Survey: <br /> t� O� ��l.� <br /> Proposed Setbacks : , <br /> Front (Lake) : Right Side: �� �� <br /> i � <br /> Rear (Street) : 32� Lef t Side: �� <br /> Adjacent Structures: � �� Wetland: �(� <br /> Bui7.ding Height: Def. Hgt. U •�� ak Hgt. <br /> Avg. Setback: Lot Cove age: <br /> Existing j Propos d <br /> Hardcover: 0-75 ' <br /> 75-250 ' � <br /> 250-500 ' � <br /> i <br /> 500-1000 ' <br /> Hardcover Vari ce equired Yes No_� D te of Council pprovaJ�: <br /> Grading: Staff�' Apprqval Da e: B : Council Ap rova� Date: <br /> ; <br /> i � <br /> Septic: Staff� Appro�al Da e: y: <br /> Zoning File�'�# i Resolution # : Resoluti n Date: <br /> ! <br /> RffiN�RRS (i�i house) : <br /> ! <br /> 1 <br />