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> CAECK OFF LIST FOR ISSUANCE OF PER�I�IITS <br /> _ � FOR OFFICE USE ONLY � . <br /> ADD S R LEGAL: 3��S �U 55 E X �2.�,,0� <br /> PID: <br /> DES ON OF WORK: (�V�t S t=,W\�.,,� F r n!t s I�1 <br /> , <br /> ZOi '� VIEti�BY: DATE APPROVED: 9-Z.7-�� <br /> BUIL I�t REYIE�BY: �r- DATE APPROYED: S- Z� -v fl� <br /> FEES CHARGED: Misc. Fees Calculated By: <br /> pE Yes ✓ No :. <br /> pLAN W Yes � No SERT}��CONNECTION <br /> STAT CHARGE Yes � No WATERCONNECTION <br /> INVE G TION FEE Yes No PARK FEE <br /> SAC � Yes No STTEINSPECITON <br /> Nu $r SAC�Units OTHER (specify) <br /> _ --------- <br /> ZOi � CK LIST Zoaing Districr. /v�v GG-��_�(�P _ �_ <br /> v <br /> Fire De e : Post O�ce:. School District: � � � <br /> Lot Are Sq. . Acres � Width _ Depth <br /> Survey bmi d: Yes No Date of Survey: <br /> Propose 5etb ks: <br /> ront La.ke): Right Sid � <br /> saz treet): Left Side• <br /> dja t Structures: etland: . <br /> Buildin� bi : Def. Hgt. P al:Hgt. <br /> Lot Cov r��e: <br /> Gradin;: $ta pproval Date: By: Council Approval Date: _ <br /> Septic: t�ff proval Date: By: <br /> Zoaing ile: Resolution: # Resolution Date: . <br /> Shorelan �is ct: <br /> �a, tback: Bluff Setb ck: Lot Covenge: <br /> Existia� Proposed <br /> a <br /> �rd ver: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> �rd ver Variance Required: Yes No Date of Council Approval: <br /> REI� in house): <br /> � <br /> 7 <br /> , — <br />