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` � CHECR OFF �IST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: lvZO N� �!���'' �c:d-/� PID: <br /> DESCRIPTION OF WORK: F;,((�,p( '���v� <br /> ------------------------ <br /> ZONING REVIEW BY: �/�F�j DATE APPROVED: <br /> BDILDING REVIEW BY: C��� DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated 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 /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District:_� <br /> Fire Department: Post Office: Schoo District: � <br /> , <br /> Lot Area: Widt Depth: r <br /> Survey Submitted: Yes No Date of Survey: / <br /> Proposed Setbacks: � <br /> Front (Lake) : Right Side:' 1 <br /> , <br /> Rear (Street) : Left Sides �` <br /> I ,� <br /> Adjacent Structure : ; Wetla�id: <br /> , <br /> Bui�ding Height: Def. xgt. Peak Hgt'. <br /> Avg. Setback: �� �ot Coverage;' <br /> xisting , ' Proposed <br /> , <br /> Hardcover: 0-75 ' / <br /> 75-250 ' �� <br /> �r , <br /> I " <br /> 250-500 '� ' � �� <br /> � , � ��, <br /> soo-1o00,�; � ,% � <br /> , I , <br /> ; /� � <br /> Hardcover Var�Cance Require�: Kes No;' _ Date of Council Approva].: <br /> Grading: Sta f Approval D te ' By: CounciJ. Approval Date: <br /> � <br /> Septic: St�f Approva]. D te. BY= <br /> Zoning Fi�e:# � �esolutioz� /# : Resolution Date: <br /> � <br /> � <br /> REMARRSJ`.i�(in house) : , <br /> i <br />