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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�I ��I c.4�z��,�, �<-- <br /> PID: <br /> DESCRIPTION OF WORK: (3 q-r-� (Z,c�„�,,�C� <br /> ZONING REVIEW BY.• DATEAPPROTfED: ���� <br /> B UILDING REVIEW BY.• DATEAPPRO i�ED: ! �-t 3-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated ByNW~_____________________ <br /> - PERMIT Yes f No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No u'ATER COIVNECTION <br /> INVESTIGATIOIV FEE Yes No �/' PARK FEE <br /> SAC Yes No � � SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ---__---_____----------__---__----------- <br /> ZONING CHECK LIST Zoning Disa•ict: �/'v ���,�� <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sq.ft. Acres GVidth Depth <br /> Survey Submitted. Yes �'o Date of Suivey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland <br /> Building Height: Def. Hgt. Peak H . <br /> Lot Coverage: <br /> Grading: S1affApproval Date: By: CouncilAppr-oval Date: <br /> Septic: Staff�lpproval Date-: By, <br /> Zoning File: # Resolution: fr Resol tion Date: <br /> Sho��eland District: MCY!' Permit: <br /> Avg. Setback: BlzfjSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover-: 0-�.i' <br /> 75-?�0' <br /> '�0-�00' <br /> .i 00-1 D00' <br /> Hardcover f'ariance Reyz�ired: I"es N'o Date of Cozrncil Approval: <br /> REMARKS(ii� Iz o use): <br /> 33 <br />