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' ' CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> . . , ,. : .. ;_5 ,L <br /> , . � . � .....:, ,, -, ,:. , . ��.....� ,: . �.t .Y�:. -,. : <br /> ADDRRSS OR I,EGAL: _ ..� �`�O S'clT�� �GiA�•L.�: �PID. <br /> . . , :;, _ . <br /> _ . .��. . <br /> D$SCRIPTION OF WORK: /t/��"'W rLE.S <br /> ZONING REVIEW BY:-------- -------------DATE APPROVED:----/ --.�� ��':� - ' , <br /> ,.. . . . _. ._ ,� <br /> ::....:. __ _, _ <br /> ,;:. <br /> : . - _ -.- <br /> BIIILDING REVIEW BY: _. ..DATS APPROVSD: /"'�- �� _ : ` <br /> -------- <br /> FBES TO B$ 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 ��ARR FEE ' � <br /> SAC Yes No v SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECR LIST -----------------Zoning District: �2•/Q ------------------- <br /> Fire Department: (A_N��� Post Office: � Schoo� District: BRo� <br /> Lot Area: 3.Z S Ac'Rc5 Width: v Rl�-��3u3 Depth: V�M-i��� <br /> Survey Submitted: Yes� No Date of Survey: /2�3J-Z,3 <br /> Proposed Setbacks: , � , <br /> Front (Lake) : � �' 3�a = Right Side: 3'1. 1 "7 E <br /> Rear (Street) : Z���'�' Lef t Side: /6 S!' t <br /> N�� � <br /> Adjacent Structures: Wetland: ��'S <br /> Buil.ding Height: Def. Hgt. 2g t Peak Hgt. 37 � <br /> Avg. Setback: _ Lot Cov r e: <br /> E ' ting Prop sed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Re uired: Yes No Date of ouncil Approval.: <br /> Grading: Staff Approval Date: - - � By• �v� Coun il Approval Date: �Il4 • <br /> Septic: Staff Approva� Date: �s"'"yr BY: <br /> Zoning Fil.e:# � s lution #: Resolution Date: <br /> RELr1ARRS (in ho ) : <br />