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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> 3--7zsrt6&a � '04 PID: r i ��1 � , 60 ; -7 <br /> ADDRESS OR LEGAL: <br /> DESCRIPTION OF WORK: ---------------------- <br /> DATE <br /> --------- � x• 95 <br /> -------------------------- - <br /> -- APPROVED: <br /> ZONING REVIEW BY: zfu <br /> DATE APPROVED: <br /> BUILDING REVIEW BY: ---------------------- <br /> ______ _ ------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculate <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> WATER CONNECTION <br /> STATE SURCHARGE Yes c/ No PARK FEE <br /> INVESTIGATION FEE Yes No <br /> Yes No SITE INSPECTION <br /> SAC OTHER ( specify) <br /> Number of SAC Units ------------ <br /> Zoning District: L&-I<- <br /> ZONING <br /> ZONING CHECK LIST <br /> Fire Department: VYWu,i✓� <br /> Post office: �-• �,y�'T►a- School District: w\aurf4 <br /> Lot Area: Width: gj4 Depth: <br /> Survey Submitted• Yes -�,4z No Date of Survey: <br /> Proposed Setbacks : Right Side: /YOB <br /> Front ( /V/&Lake) : /V� <br /> r <br /> Rear (Street) : oz , Left Side: lig <br /> Adjacent Structures : <br /> 3o ' Wetland: <br /> Building Height: Def . Hgt• v r�- Peak H <br /> Lo Coverag <br /> Avg. Setback: roposed <br /> Existing <br /> Hardcover: 0-7 ' <br /> 75-25 ' <br /> 250-5 0 ' <br /> 500-1 00 ' <br /> Hardcover V riance Re uire Yes No <br /> Date of Coun i1 Approval:__ <br /> Grading: S aff Approv 1 Da e: By: <br /> Council pproval Date: <br /> Septic: S aff Approval Da e: By: <br /> Zoning <br /> F le:# esoluti Resolutio Date:_ <br /> ggrgARRS (In house) : <br />