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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3`{� �t�H (�-�-P <br /> PID: <br /> DESCRIPTION OF WORK: Q,A►�-t�vw o w� +��'��<— <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: (/+ DATEAPPROVED: <br /> BUILDING REVIEW BY: DATEAPPROTrED: s'-9-v7 <br /> FEES TO BE CHARGED: Nlisc. Fees Calczclated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No� SEWER CONNECTION <br /> STATE SURCHARGE Yes—� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Nirnzber�of SAC UniCs OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST 7_o�7i�ag Disrrict: _fd,1v <br /> Fire Depnrtinent: Post Offrce: Sclrool Distr•ict: <br /> Lot:lrea: Sq.ft. Acr•es YY'idth Depth <br /> Scrrvey Sarbmitted: 3'es No Date of 5arfvey: <br /> Pi�oposed Setbncks: <br /> Frorit (Lake): Ri 1t Side: <br /> Rear(Sh•eet): Left 'de: <br /> Adjacenl Sd•uctzn•es: l�etland: <br /> 13uildi�7g Herght: Def. Hgt. Pe k Hg�. <br /> Lo1 Coverage: <br /> Grnding: Staff.dpproval Date: B: Council,4pproti�al Date: <br /> Septic: Stnff.=lpproval Unte: �: <br /> 7_oningFile: � Resolution: r Resolt�tionDale: <br /> Sdaor•eland District: r1-ICGVD Per•mit: <br /> �t rg. Setbacic: Bl uff S'etb ck: Lot Coverage: <br /> Esrs�ifig Proposect <br /> Hn�•dcover: 0-'�' <br /> 7 i_7 i�' ---- <br /> ?.$�-?��� <br /> son-�ono� <br /> flardcover I��riniice Reqtrired )''es �A`o D�ite of Coiu�cil.4pprol�al: <br /> RE,L14RIiS(i�t lrouse): <br /> 3� <br />