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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -7-7 11 --C-o� r4 PID' <br /> DESCRIPTION OF WORK: t wC�C.t' <br /> - - -------- <br /> ---------------- <br /> ---------------------- --------------- <br /> ZONING REVIEW BY: <br /> DATE APPROVED: Y' Z�`y$ <br /> BUILDING REVIEW BY: DATE APPROVED: L{-Z& -15 <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 Noy' PARR FEE <br /> SAC Yes No_i�— SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Postfic �iool District: <br /> V 4*)� <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes DL- No Date of Survey: <br /> Proposed Setbacks: <br /> F-ren (Lake) : 1 ZS Right Side: /2 <br /> Aee-r (Street) :— -YU� Left Side: /J <br /> Adjacent Structures: /Azme±t!�4 Wetland: <br /> Building Height: Def . Hgt. Peak Hgt <br /> Avg. Setback: Lot overage: <br /> Exist'ng P oposed <br /> Hardcover: 0-75 ' <br /> 1 <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance equire Y s No Date of Council Approval: <br /> Grading: Staff Ap oval Da e: Co ncil Approval Date: <br /> Septic: Staff Ap roval Dat : By: <br /> Zoning File: # R luti n # . Resolution Date: <br /> REMARKS (in house) : <br />