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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �6� ��w r-► �°'� l�a <br /> PID: <br /> DESCRIPTIDIV OF�VORK: c:,iv i RAn�cl vvl.on����'f"S <br /> ---------------------------------------------- --------------------------------------------------------------Q;------ <br /> ZONING REVIEW BY.• � DATEAPPROVED: 6 -�l� <br /> BUILDING REVIEW BY.• _ DATEAPPROTfED: 6-i �-07 <br /> FEES TO BE CHARGED: ll�lisc. Fees Calcz�lated 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 1/ SITEINSPECTION <br /> l�rtrnzbe��of SAC Unils OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST 7_o��i�Tg Disrricr: <br /> Fire Departrnent: Post Office: School Distr�ict: <br /> Lot:(rea: Sg.ft. .9cres YI%iclth Deptlz <br /> Survey Szrbmitted,- Yes v'� No Date of Siuvey: o� F�w <br /> Proposed Setbacks: / <br /> Front(Lake): 5 Right Side: <br /> Rear(Str•eet): L�ft Side: <br /> o� <br /> �C.� Adjacent Strirctzrres: Wetland� <br /> �(/ 13ziilding flerght: Def. H�t. Peak Ngt. <br /> � <br /> Lot Coverage: <br /> Grnding: St�rff.dpprovalDate: Bv: Caunci(,4pproti�alDate: <br /> Septic: Stnf'f.4pproval Date: �y <br /> Zo��ing File: � Resoh�tiof�: # Resolulion Da(e: <br /> Sha��elc�nd District: A-lCGG'D Per•�rrit: <br /> �lvg. Setback: BluffSetback: LotCover�age: <br /> Earslrng Proposed <br /> Hnr•dcover: 0-7�' <br /> 7i-?i�' ` <br /> ?so-snn� <br /> �on-�000� <br /> Ha�dcover 6'nrinnce 12equired }"es :\'o Date of Cou��cil.9pprol�n(: <br /> RE:Y1,4RkS(i�r lrocrse):l��� �IC=.��'� �,L� t� � �'� <br /> J� <br />