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-- - - -L. <br />CHECK OFF LIST FOR ISSOAKCB OF PERMITS <br />FOR OFFICE USE ONLY <br />M>DRB8S OR T.HCAT.* SMAOWtOOOi) PIP:_________________ ' _______ <br />DESCRIPTION OF WORKt 'g.rjrfl -AJO d'f <br />ZONING REVIEW BY» <br />BUILDING REVIEW BYt <br />- - - - - - - - - - - - - - - - - - - - - - - - - -- - - -- - - - - - - - - - - - - <br />FEES TO BE CHARGED: <br />DATE APPROVED: ^ <br />DATE APPROVED: ^'0^3 <br />Mlsc. Fees Calculated By: <br />PERMIT Yes • No^ <br />PLAN REVIEW Yes No. <br />STATE SURCHARGE Yes_ <br />INVESTIGATION FEE Yes, <br />SAC Y®s <br />Number of SAC Units _ _ <br />SEWER CONNECTION <br />WATER CONNECTION <br />PARK FEE <br />SITE INSPECTION <br />OTHER (specify) <br />ZONING CHECK LIST Zoning District: L^^tC._ _ _ _ _ <br />Fire Department: Post Office: tAiAi^-^ryv School District: <br />Lot Area: Width: AO<. Depth: *2S3«*1 Av< <br />Survey Submitted: Yes K No_ _ Date of Survey: Sr-(T-*:3_ _ _ _ _ _ __ <br />Proposed Setbaclcs: , <br />Front (Lake): ±_ _ _ _ Right Side: (Q.l <br />Rew (Street): f._ _ _ _ Left Side: M»j. <3^ <br />Adjacent Structures: _ _ _ _ _ _ _Wetland: [A