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. - CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> r � <br /> ADDRESS OR LEGAL: 2�1`IC7 SuS�c�C pID= <br /> DESCRIPTION OF WORK: �iNrs� Q��'i"°^� <br /> ---- --------------------------- <br /> --------------------- --J'�----------------- -- <br /> ZONING REVIEW BY: Q� �-(�/G�-- DATS APPROVED: N�/� <br /> BIIILDING REVIEW BY: DATS APPROVED: 2• ZFs'�SS <br /> ---------------------- ---------- <br /> FE$S TO BE CHARGED: Misc. Fees Calcul.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 SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- <br /> ZONING CHECR LIST Zoning Dis�rict: <br /> Fire Department: Post Offi e: Schoo D strict: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Y s No te of urvey: <br /> Proposed Setback : <br /> Front (Lake : Right S de: <br /> Rear (Stre t) : Left S ' de: <br /> Adjacent tructu es : Wetl nd: <br /> Bui�ding Heig t: Def Hgt. P ak Hgt. <br /> Avg. Setback: Lot Co� rage: <br /> E isti g Prop sed <br /> Hardcover: -75 ' <br /> 75 250 ' <br /> 25 -500 ' <br /> 50 -1000 ' <br /> Hardcove Variance R q ired: Yes o Date of Council pproval: <br /> Grading• Staff Approv 1 Date: By: Council Appr vaZ Date: <br /> Septic Staff Approv Date: BY= <br /> Zonin Fi�e:# Resolut'on #: Resolution te: <br /> S (in house) : <br />