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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> 2, r2 <br /> � PID: �,� ��_/ i 7 — ; =� ,ri c7 c' ,Z�, <br /> ADDRESS OR LEGAL: O h ' <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: C Jv'O i%',, DATE APPROVED: 6 -30 -52 <br /> BUILDING REVIEW BY: g DATE APPROVED: 6 -30-q--2- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yeses No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: p.A-u3 <br /> Fire Department: L4a15 LAKE Post Office: Z,0,A. 6Aku' School District: O, 'Jcb <br /> Lot Area: 9Y,30o±✓ 2./ A idth: 35 3 Depth: 2J l•i1 <br /> Survey Submitted: Yes J( No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Z.io '+- Right Side: / 56)4- <br /> Rear (Street) : 31'+ Left Side: !�Df <br /> Adjacent Structures : (06' Wetland: /W/4 <br /> Building Height: Def . Hgt. •(� Peak Hgt. <br /> Avg. Setback: /4//11- A Lot Coverage. <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Requi .ed: Yes No sate of iou cil Approva : <br /> Grading: Staff Approval Date: By: Co)Lnc 1 Approval D=te: <br /> Septic: Staff Approval Date: =y: � / <br /> Zoning File:# Resolution # : 7esolution Date <br /> r <br /> REMARKS (in house) : / <br /> i <br /> r <br /> 1 <br />