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r <br />CHEC OFF LIST FOR ISSOANCE OF ''ERMITS <br />FOR OFFICE USE ONLY <br />ADDRESS OR SM«^tQMtOOOO GA P1D«- - - - - - ---!- - -1- - - <br />icRiPTioH OF wnpK. <br />ZONING REVIEW BT :r0 DATE APPROVED <br />BOILDIMC REVIEW BY. DATE ARPHOVED.___ <br />_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ __ _- - - - - - - - - - - - - - - - - - - - - - —— <br />FEES TO BE CHARGED. Misc. Fees Cslcula^ed By*, — <br />PERMIT <br />PLAN REVIEW Yes. 4^ No <br />STATE SURCHARGE Yes. <br />INVESTIGATION FEE Yes^ <br />SAC Yes No <br />Number of SAC Units _______ <br />No _ <br />No“"i5^ <br />SEWER CONNECTION <br />WATER CONNECTION <br />PARK FEE <br />SITE INSPECTION <br />OTHER (specify) <br />ZONING CHECK LIST Zoning District:—^- - - - - <br />Fire DepartmentPost Office: School District: v>.^57X3An£^. <br />Lot Area:_Lfe^fe2a^2-a4i Width _ Depth <br />Survey Submitted: Yes_K. No_ _ Date of Survey: ^.1X*.15- - - - - - - <br />_____ Right Side; <0«t (S^ <br />Rear (Street) _ _ _ _ Left Side:- -||.j. <br />Proposed Setbacks: ’ , <br />Front (Lake): J <br />Adjacent Structures: A^lf^Wetland: Ia <br />Building Height: Def. Hgt. 2.^ <br />Avg. Setback: OAC Lot Coverage: <br />'Existing‘ ‘ Proposed <br />Peak Hot. <br />Hardcover: 0-75' <br />75-250' <br />250-500' <br />500-1000' <br />/UO + <br />No Date of Council Approval:,