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-CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: IJ�S �Nk�W� �'� PID: <br /> DESCRIPTION OF WORK: <br /> ------_ ------------------- <br /> ZONING REVIEW BY: DATE APPROVED b <br /> BUILDING REVIEW BY: LSG ''' DATE APPROVED: 6 d 5 Z <br /> ---- <br /> -------------------- ---------------------- <br /> FEES TO BE CHARGED: c 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 /,.7PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number <br /> of SAC Units OTHER ( specify) <br /> ___ - ---------------------- <br /> ZONING CHECK LIST -----------------Zoning District- <br /> : <br /> Fire Department: <br /> ost 0 fice• School District: <br /> Lot Area: Width. Depth: <br /> Survey Submitted: Yes No Date of Survey: Z Z 3- 83 <br /> Proposed Setbacks: ' <br /> FT-e- (Lake) : /$ Right side: �C� <br /> Street) : Left Side: &0fir- ( / <br /> Adjacent Structures: /yWetland: <br /> t <br /> Pea Hg . <br /> Building Height: Def . Hgt. Pe <br /> Avg. Setback: L Cover ge: <br /> Exist' g Propos d <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Vequired: Y s No Date of ouncil Approval: <br /> Grading: Staff Approval Date: y= <br /> C uracil Approval Date: <br /> s <br /> Septic: Staff Approval Date:i By: <br /> Zoning File:# <br /> Re lution # : // Resolution Date: <br /> r , <br /> REMARKS (in house) : <br /> 1 <br /> i � <br />