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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> 90 (,v/}it'rLT��/`� PID: <br /> ADDRESS OR LEGAL: Z <br /> fI-c7z12 _�n/ <br /> DESCRIPTION OF WORK: -------------______------ g --------- <br /> ---- --- ----------- <br /> ------------------ -2--4 <br /> ZONING <br /> S <br /> ZONING REVIEW BY: <br /> _ DATE APPROVED: <br /> /z �/� DATE APPROVED: <br /> BUILDING REVIEW BY: ------------------------------- <br /> _ ------------------- <br /> Misc. Fees Calculated By: <br /> FEES TO BE CHARGED: C,O�� ae-i <br /> PERMIT Yes No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> NNECTION <br /> No WATER CO <br /> STATE SURCHARGE Yes No PARR FEE <br /> INVESTIGATION FEE Yes <br /> SAC Yes No SITE INSPECTION <br /> OTHER (specify) <br /> Number of SAC Units _ _ _ __ ___ __ ------------ <br /> -------------LIST ----------------Z_ning District: <br /> -----�I---------- <br /> ZONING CHECK <br /> Fire Department: <br /> Post Office: Scho 1 District: <br /> Lot Area : <br /> Width: Depth: <br /> S_ No Date f Survey: <br /> Survey Submitted: � <br /> Proposed Setbacks: <br /> Front (Lake) : Rig�it Side: L <br /> 11 I <br /> Rear (Street Le t Side: <br /> i <br /> Adjacent St u tures: Wetland: _ <br /> Building Height ef• H t. <br /> Peak Hg • <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0- 5 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variand Required: es No <br /> Date of Council Approval :__ <br /> Grading: Staff A proval Date: BY: <br /> Council Approval Date : <br /> Septic: Staff Approval Date: By: <br /> Zoning <br /> y=Zoning File•# Resolution # : Resolution Date:__ <br /> REMARKS (in house) : <br />