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• _ CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRSSS OR LEGAL: c� � - A � PID: <br /> DESCRIPTION OF WORR: S'�i����'1 ' �� <' ' i ��� <br /> -------------------- --- -------- ------------------_------ --- --------------- <br /> ZONING REVIEW BY: DATE APPRO`7ED 5 /� r��-� <br /> BIIII,DING REVIEW BY: DAT$ APPROVED: � �� <br /> --------------- <br /> FEES TO BE CHARGED: 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 PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units 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: C� <br /> Rear (Street) : l C,� Left Side: � i� <br /> Adjacent Structures: Wetland: <br /> BuiJ.ding 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 ApprovaJ.: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval. Date: By: <br /> Zoning File: # Resolution # : Reso].ution Date: <br /> REMARKS (in house) : <br />