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CHECK OFF LIST FOR ISSUANLE OF' PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3i'65' (NATEkrOtAuN Q,oAO PID: <br /> DESCRIPTION OF WORK: IQETACJAQQ OAko%&E <br /> ------------------------- --------------------------------------------------- <br /> ZONING REVIEW BY: _ DATE APPROVED: - ,q?- <br /> BUILDING <br /> BUILDING REVIEW BY: DATE APPROVED: -S-Z- <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes v 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 Z7-' SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: 2Q-1A <br /> Fire Department: /V/L- Post Office: /Li C School District: W/L <br /> Lot Area: NIC Width:- NIL Depth: 16, <br /> Survey Submitted: Yes_ No Date of Survey: O/J l�/L� -) -2-50 <br /> Proposed Setbacks: <br /> 7 Front (Lake) : Ile f' Right Side: <br /> Rear (Street) :— 71-JU ' t Left Side: <br /> Adjacent Structures : log Wetland: <br /> Building Height: Def. Hgt. lU Peak Hgt. 1 � <br /> Avg. Setback: /✓// Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Va2roval <br /> Yes N D e of C uncil Approval: <br /> Grading: StaBy: Cou cil Approval Date: <br /> Septic: StafZoning File: lutio # : solution Date: <br /> REMARKS (in <br />