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" ` � � CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> • � ' � ' FOR OFFICE USE ONI,Y <br /> . <br /> ADDRESS OR LEGAL: pID= <br /> DESCRIPTION OF WORKs ' <br /> -------------------------------------------------------- <br /> ZONING REVIL�fn7 BY: DATE APPROVED: <br /> BIIILDING REVIEW BY: DATB APPROVED: <br /> ------------------------------------------------------ <br /> FEES TO BE CHARGF.D: Misc. Fees Calculated By: <br /> PERMIT Yes No � � <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC � Yes No SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> -------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: _ Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> . Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <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 /> Grading: Staff Approval Date: By: Council. Approval Date: <br /> Septi c: S taf f Approva]. Date: By� <br /> Zoning File:� Resolution �: Resolution Date: <br /> REMARKS (in honse) : . <br />