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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ', ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: f� �� ('1% � (�� � PID: ��o - l/� " ,� �� �s/ C c C' J <br /> DESCRIPTION OF WORR: !l�'J'Y[�`-�%�' �'�"�R'�(Z-- <br /> ------------------�� -�-/�--------------------------------------------------- <br /> ZONING REVIEW BY: ��o l>(��u•— DATE APPROVED: ,3 - i 6 -�t 3 <br /> BIIILDING REVIEW BY: a DATS APPROVED: 3- 1 �' `5� <br /> FEES TO BE CHARGED: Misc. Fees Ca1cuJ:ated By: <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 s.�� SITE INSPECTION <br /> Number of SAC Units _____OTHER_ (specify) <br /> --------------------------------- J- ------------------------------ <br /> ZONING CHECR LIST Zoning District: <br /> , <br /> Fire Department: Post Office: School Dist ' ct: <br /> Lot Area: Width: Depth: <br /> , <br /> Survey Submitted: �s No Date of S�zrvey: / <br /> ! f <br /> Proposed Setbacks: � <br /> Front (Lake) : Right S�de: � <br /> 3 <br /> Rear (Streety: Left Side: � <br /> � <br /> Adjacent Struct�ires: Wetland: j <br /> � � � ; <br /> Building Height: De'f. Hgt. Peak Hgt. <br /> � Lot Cove�a e: <br /> Avg. Setback:^ i _ g <br /> Existi ,�g Propos�ed ,_ <br /> �`�.� '. <br /> Hardcover: 0-75 ' � � <br /> 75-250 ' ; <br /> i <br /> 250-500 ' I <br /> 500-1000 ' � _ I <br /> � <br /> Hardcover Variance Req�ired: Yes No Date of Coun�'cil. Approval: <br /> � <br /> Grading: Staff Approva,l Date: By: CounciJi Approval Date: <br /> Septi c: S�taf f Approva�. Date: �' ,_ BY� <br /> � I <br /> Zoning File: # Resolution # : Resol.ution Date: <br /> REMARKS (in house,) - <br />