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'• - � CHECK OFF LIST FOR ISSIIANCE OF PER.i�iITS <br /> '� FOR OFFICE USE ONLY <br /> �DDRESS OR LEGAL: 3'Sb (�,(ZOWN R��P+d SOvT� -pID' <br /> DESCRIPTION OF WORR: A --------------- <br /> --------------------- <br /> ----------------------- <br /> ------------2 _�-'J 2. <br /> ZONING REVIEW BY: � DATE APPROVED: �7 <br /> BIIII�DING REVIETn7 BY: d�t�• �M� DATE APPROVED: �" Z��Z <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 IInits OTHER (specify) <br /> ------------------------------------ <br /> ZONING CHECR LIST Zoning District: 2(�-1� - <br /> Fire Depar'-�-ment: Lenh,G�4'� <br /> Post Office: (,oN � School District: <br /> Lot Area: N��- <br /> Width: /✓�C.- Depth: <br /> Survey Submitted• Yes� No Date of Survey: /2-� - �2 <br /> Proposed Setbacks: � � ,� <br /> Front (Lake) - 3bU fi Right Side: I�b _ <br /> Rear (Street) : `�00 � '�' Lef t Side: / 2 p� '`' <br /> Adjacent Structures : �4"�"7�GNc-� Wetland: <br /> Buil.ding Height: Def . Hgt• D• k <br /> Peak Hgt: <br /> N1� Lot Coverage: /✓�l4 <br /> Avg. Setback: pro osed <br /> Existing p <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance R quired Ye <br /> o Da of Cou cil Approval:__ <br /> B C�; Approval Date:__ <br /> Grading: Staff Appr val Dat : y� <br /> Septic: Staff App val Date _ By� <br /> Zoning File:� <br /> Re lution �: Reso ution Date: <br /> R�t�.RRS (in hou e) : •� <br />