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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 02S G✓A "`'^� PID <br /> DESCRIPTION OF WORK: 00" K1 --------- <br /> ----- ------------------ -------------DATE APPROVED: <br /> ZONING REVIEW BY: <br /> ( '�*�'� <br /> DATE APPROVED <br /> BUILDING REVIEW BY: --------�------------------ <br /> ------------------ <br /> -------------------- Y <br /> FEES TO BE CHARGED: Misc. Fees Calculate <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes No WATER CONNECTION <br /> ✓' SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓No <br /> INVESTIGATION FEE Yes No_�/ PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> OTHER (specify) <br /> Number of SAC Units ----------------------------------------------- <br /> ----------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: <br /> Post Office: Sc oo District: <br /> Lot Area: <br /> Width: Dep <br /> Survey Submitted : Yes <br /> No ate of Survey: <br /> Proposed Setbac s Right ide: <br /> Front (Lak ) : <br /> Rear (Stre t) Left ide: <br /> Adjacent ruc ures: <br /> W tland: <br /> Building <br /> Heigh De . Hgt• Peak Hgt. <br /> Lot overage: <br /> Avg. Setback: pr posed <br /> fisting <br /> Hardcover: 0 5 ' <br /> 75- 50 ' <br /> 250 500 ' <br /> 500- 000 ' <br /> Req <br /> ' r d: Ye No Date of Cou cil Approval: <br /> Hardcover ariance <br /> Grading: S aff Approval D te: By: <br /> Counci Approval Date:,_,_ <br /> Septic: S f f Approval e: By: <br /> Zoning File:#_ <br /> Resolut' n #: Resol tion Date:____ <br /> REMARKS (in house) : <br />