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, CHECR �FF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFyCE USE ONLY <br /> ADDRBSS OR LEGAL: ���� `� �V ��%c�' ��I"� PID:�I' -// �":�- 3 �� C)�� � �-- <br /> DESCRIPTION OF WORR: R��PL'�u TO vN�p(�T1 O�`'� <br /> --------------------D---------------------------------------------- <br /> ZONING REVIEW BY: �i�y�Qo DATE APPROVED: N�� <br /> —_Q <br /> BIIILDING REVIEW BY: Qv�(o l5lJw•t� DAT$ APPROVED: Z- 5-53 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARR FEE <br /> SAC � Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Office: Schoo ict: <br /> Lot Area: Width: Dept . <br /> Survey Submitted: es No Da e of rvey: <br /> Proposed Setbacks: <br /> Front (Lake) ight S de: <br /> Rear (Stree ) : Left S de: <br /> Adjacent S ructur s: Wetland: <br /> Building Heigh : Def . Hgt. Peak Hgt. <br /> Avg. Setback: L Coverage: <br /> Ex sting Proposed <br /> Hardcover: 0- 5 ' <br /> 75- 50 ' <br /> 250 500 ' <br /> 500 000 ' <br /> Hardcover ariance Re u' ed: Y s o Date of uncil Approval: <br /> Grading: Staff Approv Date: uncil Approval Date: <br /> Septic: Staff Approva Date: BY= <br /> Zoning Fi�e:# Reso ution # : Reso�ution Date: <br /> RF,MARKS (in house) : <br />