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. ' ' ' CHECR OFF LIST FJR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�-�S �/4�-S� Po�nr T I�OY4� _PID= <br /> D$SCRIPTION OF WORR: ►�J eLK - <br /> --------------------- ---- -------- <br /> ZONING REVIEW BY: DAT$ APPROVSD: //' 3 -`�'2. <br /> BIIILDING REVIEW BY: DATE APPROVED: / / '� "��-- <br /> --------------- <br /> FEES TO B$ CHARGED: Misc. Fees Calculated By: <br /> � <br /> PLANIREVIEW Yes�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes ��o WATER CONNECTION <br /> INVESTIGATION FEE Yes �/ No PARR FEE <br /> SAC Yes No G� SITE INSPECTION <br /> Number of SAC IInits OTHER (specify} <br /> ----------------------------------------------�----------- <br /> ZONING CHECR LIST Zoning District: � � � _ <br /> Fire Department: ww�n�c� Post Office: w�z�►-awSchool District: � � _ <br /> Lot Area: t i��su ch r 2 U� Width: (,D ' Depth: � 9�'l � AVI� <br /> Survey Submitted: Yes X No Date of Survey: S-l�O-�( O <br /> Proposed Setbacks: � <br /> Fr�nrt (Lake) : �� Right Side:S"-j/ <br /> �ear—(street) : Lef t side: /v `�' � � <br /> Adjacent Structures: /�7'�� Wetland: /✓�� <br /> Building Height: Def. Hgt. /l/�f� Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' 15�, l� �`�' S <br /> �s-2so � �S � �-l7, b`'l o <br /> 250-500' <br /> 500-1000 ' � <br /> Hardcover Variance Required: Yes DC No Date of Couricil Approval: �/-� "L� `� t <br /> Grading: Staff Approval Date: � ��- By: Council Approval Date: <br /> Septic: Staff Approval. Date: QJ �/+ BY- � <br /> Zoning Fil.e:#�3 I57 D Resolution #: Z �13�f Resolution Date: �{- �2 -52- <br /> �F.NIARK$ (in house) : ' <br />