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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br />FOR OFFICE USE ONLY <br />,,'T TRESS OR LEPAI.: %��J <br />�L I� �CA j] <br />PID: <br />� � <br />� <br />DESCRIPTION OF WORK: <br />- <br />BY: <br />ZONING REVIEW BY: <br />----� <br />-- <br />--- <br />( <br />------------------------------------------------ <br />DATE <br />APPROVED: <br />f-� <br />BUILDING REVIEW BY: <br />DATE <br />APPROVED: <br />ff-Li-� <br />-- <br />FEES TO BE CHARGED: <br />`-- <br />--- <br />Misc. Fees <br />Calculated <br />By: <br />PERMIT <br />Yes <br />No <br />FLAN REVIEW <br />Yes <br />No <br />SEWER <br />CONNECTION <br />STATE SURCHARGE <br />Yes <br />No <br />WATER <br />CONNECTION <br />INVESTIGATION FEE <br />Yes <br />Na <br />`� PARK <br />FEE <br />SAC <br />Yes <br />No <br />4--- SITE <br />INSPECTION <br />Number of SAC Units <br />OTHER <br />(specify) <br />------------- <br />ZONING -CHECK LIST '--__--- Zoning District: L2--IA <br />Fire Department: AJ /C. Post Office: N k- School. Di strict : Id/ <br />Lot Area:__, j� d _ Width: / 0Depth: D <br />Survey Submitted: Yes- No Date of Survey: - <br />Proposed Setbacks: <br />Fx!vrtt (Lake): 6brfJ Right Side: (Q. <br />(Street): N Left Side: <br />Adjacent Structures: r r5�Ae-J Wetland: <br />Building Height: <br />Def . Hgt . N (A - <br />Avg. Setback: — <br />Existing <br />Hardcover: 0-75' <br />75--250' <br />250-500' <br />500-1000' <br />Hardcover Variance Required: Yes <br />Grading: Staff Approval Date: <br />Septic: Staff Approval Date: <br />. t <br />Zoning File:# Re of <br />Ri mARKS ( in house): <br />01(/v <br />Peak Hgt . I!f <br />Lot Coverage: C <br />Proposed <br />18 q0 <br />No__K_ Date of Council Approval: <br />By ;/-___/, o�nci 1 Approval Date: <br />By: <br />-Resolution Date: <br />