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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-1 U� w,���t2s PolLr LAnl&PID: <br /> DESCRIPTION OF, WORK: SG2.E� POaC-H <br /> --------------------g ------- <br /> ZONING REVIEW BY: d zvo DATE APPROVED: q (o' Y <br /> BUILDING REVIEW BY: DATE APPROVED: 9-b- `ll <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) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District 69-16 <br /> Fire Department: ost Of ce: c District: <br /> Lot Area : i K, `f V '�i`dth: <br /> Survey Submitted: Yes V_ No Date of Survey: <br /> Proposed Setbacks: l'e <br /> Front (Lake) : 3`1' Right Side: <br /> Rear ( Street) : �-(DLeft Side: <br /> Adjacent Structures: 47TAGffC1V Wetland: N� <br /> Building Height: Def . Hgt. O .k- Peak Hgt. lC- <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> NO <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No 0<, Date of Council Approval :, <br /> Grading: Staff Approval Date: By: Council Approval. Date: <br /> Septic: Staff Approval Date: c1 Y: <br /> Zoning File: # 19 5 S Resolution # : AY` 4Resolution Date: <br /> REMARKS (in house) : /QFSo Ly77ayv5 Sl6NCZ� ? eS <br />