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L., <br />CHECK OFT LIST FOR ISSUANCE OF PERMITS <br />FOR OFnCE USE ONLY <br />ADDRESS OR LEGAL: ^^vAOM^JLleoO <br />Vnh _____________________ _______________ <br />DESCRIPTION OF WORK: OacJ^ <br />ZONING REVIEW BY: <br />BUILDING REVIEW BY: A <br />-------------------------------- <br />DATE APPROVED: /0"/V-o< <br />DATE APPROVED: /q. / <br />FEES TO BE CHARGED: <br />PERMIT <br />PLAN REVIEW <br />STATE SURCHARGE <br />INVESTIGATION FEE <br />SAC <br />Numb«r of SAC Units _ <br />Misc. Fees Ctlculated By: <br />Yes No <br />Yes No SEWER CONNECnON <br />Yes No WATER CONNECTION <br />Yes No PARK FEE <br />Yes No SUEINSPECnON <br />OTHER (specify) <br />ZONINGCHEpKLIST ZoolmDUtrfci: /VO <br />Fire Depirtmaa; <br />LocArea: Sq.1t_ <br />Post Office: <br />Survey Submitted: <br />Proposed Setbacks: <br />Froo: (Lake): <br />Rear (Street): ____ <br />A4iaceoi Structures: <br />BuUdiai Heifbt: Def.Hgt. <br />Lot Coverage:___________ <br />RiSbtSide <br />Uft Side: <br />School District: <br />\\ldth Depth <br />Datt of Survey: <br />Zetland: . <br />PakHft. <br />Gradlnf: Staff Approval Date: <br />Septic: Suff Approval Date: _ <br />ZoolnfFUe: f_________Resolution: # <br />Sborelaad District: <br />Avg. Setback: <br />Hardcover:0-75* <br />75-230* <br />250-300’ <br />500-1000’ <br />Bluff Setback: <br />Existing <br />By: <br />By: <br />Council Approval Date: <br />Resolution Date: <br />LotCo^-eiage: <br />Proposed <br />Hardcover Variance Required: Yes. <br />REMARKS (In bouse);__________ <br />Date of Council Approval: