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1 <br /> < <br /> CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: 30�(u C��, (�c,��� �c�e�J <br /> PID: <br /> DESCRIPTION OF WORK J� � �� d�cK�� cm P� c�� I�c�s�, <br /> ---------------------------------------------------------------------------------------��L _ 1.c._!'�'�_t�Y_�"3�" <br /> ZONING REVIEW BY.• DATEAPPROTjED: <br /> B UILDING RE vIEW BY: DATEAPPRO i�ED: <br /> ------------------------------------------------------------------------------------------------------------------------ <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�L SITEINSPECTION <br /> Narmber of SAC Units � OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Distr•ict: Z— <br /> Fir•e Depar�tirrent: Post Office: School Dish�ict: <br /> Lot Area: Sq.f. Aci�es YVidth Depth <br /> Su�vey Subnzitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Rrght Side: 2� ��� (` � o( ,(�_�s <br /> )Yr,vi r �v I <br /> Rear(Str•eet): (4, ' Left Side: �1 � � Ut— I S �'yl/��2. l�'��`e—� <br /> Adjacent Strirctures: �r'1�1[.l�c� l�l�etland: /�/� � �j��. (� (�N� �S <br /> Bt�rlding Height: Dej Hgt. /�� Peak flgt. � S��Q- (�'� ���-� �� <br /> Lot Cover•age: (���— ���S ��t, �� ��� � <br /> l U' Fvc.v�, ��S (u�(��,t, <br /> Grading: Staf�'Approval Date: /r�f�F BV: COZli1CZI.Approval Date: <br /> Septic: StaffAppr•oval Date: �/(/� By: <br /> Zonirrg Fi/e: # -- Resolution: # --- Resolartial Date: <br /> Sl�oreland District: �,�f rLlC6i D Permit: <br /> ' Avg. Selback: BlL ff Setbac%: Lot Covernge: <br /> �xisting PY•oposed <br /> Hardcover•: --�J—�= <br /> -f-.}-�A' <br /> 250-�00' Sl.��S a.a�� <br /> �' <br /> Hurdcover [%uriance Requirecl. }es ��'o Date of Coarrlcil,�lpproval. <br /> REMARKS(i�i Izoirse): <br /> 33 <br />