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. � <br /> C�� OFF LIST FOR ISSIIANCE OF PF.RMITS <br /> FOR OF�IC� US� ONLY <br /> _� <br /> r-� �.n,o, �,�,.., �.��.n�, �,�., �� ��. ��,, <br /> ADDRESS OR LEG�I, DES��2PTION: � �-<�.�, � �= `� <br /> PT�: <br /> ; ,,. �,. <br /> DESCRIPTION OF WORK: ��'��� �� � .��� �� � ���° <br /> ------------------ <br /> ZONING RSVIEW BY: DATE APPROVED: <br /> BIIII.DING RL'4IEW BY: .DATE APPROVED: <br /> PF,.RMIT ISSIIED BY: DATE: <br /> ------------------------------------------------------- <br /> FRES TO BE C3ARG�D: Misc. Fees Cal.culated By: <br /> p�g�IT Yes No Sc�WER UNIT $ <br /> ?T�N REVI�W Yes No S�WER CONNECTION <br /> STATE SURCHARGE Yes No �,� j� �,,�-'''��°�� T <br /> \ / �.�cr _ �.� <br /> p���,Ty Yes No V <br /> `G...� <br /> gaC Yes No 1 ��_. <br /> � ` �-.� <br /> .- �- . ��� ----------------- <br /> ------------------------------------ � , � -------- <br /> ZONING CHEG� LIST Z __..��t: <br /> e�"ire Depart*nent• Post Office: School District: <br /> :.,ot Area: Width: Depth: <br /> -::urvey Submitted: Yes No Date of Survey: <br /> ?roposed Setbacks : <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures : Wetland: <br /> Existing Proposed <br /> ";ardcnver: 0-75 ' <br /> 75-250 ' <br /> -�'ardcover Variance Required: Yes \/ No ; Date of Council Approval: <br /> �rading: Staff Approval Date: By: Council Approval Date: <br /> �eptic: Staff Approval. Date: BY=._ ' <br /> �ning File: # Resolution �- Resolution Date: <br /> }�MARR$ (in house) : <br />