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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: rFi4Gtj "7124rL PID: <br /> DESCRIPTION OF WORK: C-fV�LhrvG� ✓1/�'^'`''��Oi' <br /> ------------------------------------------------- <br /> ----------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: to • 3 r-4PL( <br /> BUILDING REVIEW BY: <br /> DATE APPROVED: (l <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 No ✓ PARK FEE <br /> SAC Yes No ` -' SITE INSPECTION <br /> Number of SAC Units OTHER- (specify) /1 /Q <br /> ----------------- ---R/� ------------------- <br /> ZONING CHECK LISTZoning District <br /> Fire Department: Vh <br /> t Off ' e: S off-- <br /> JtW .strict: <br /> 7 <br /> Lot Area: : et . <br /> Survey Submitted: Yeses_ No Date of Survey: OAJ F-i LiE <br /> Proposed Setbacks: <br /> Front (Lake) : (0 Right Side: L5U <br /> Rear (Street) : Z hb` f Left Side: W ` <br /> Adjacent Structures: iy�� Wetland: //l1 <br /> Building Height: Def. Hgt. U- (C eak Hgt. <br /> Avg. Setback: Lot C erage: i <br /> Ex i 'ng Pr osed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varia a Required: Yes No Date of ouncil Approval: <br /> Grading: Staff Approval Dat % B Cou cil Approval Date: <br /> Septic: Staff Approval a e: By: <br /> Zoning File: Resolu ion #: Resolution Date: <br /> REMARKS (i house) : <br />