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- ` ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> <FOR �JFFICE USE ONLY <br /> ADDR�SS OR LEGAL DESCRIPTION: a-�� �( ( �'��d-�'-c� ��� <br /> PID: �-�"I/7- � 3 3/ DOSCo <br /> DESCRIPTI ON OF WORR: `��''C� ��``��"��� �� <br /> ------------------------------------- <br /> ZONING REVIEW BY: /� I/9" DATE APPROVED: <br /> , � <br /> BQILDING REVIEW BY: _ .DATE APPROVED: 1- 3a -f2 <br /> PERMIT ISSUSD BY: DATE: <br /> ------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No SEWER UNIT $ <br /> PLAN REVIEW Yes `� No SEWER CONNECTION <br /> STATE SURCHARGE Yes ►� No WATER CONNECTION <br /> PENALTY Yes No v PARK FEE <br /> SAC <br /> Yes No v SITE INSPECTION <br /> OTHER (specify) <br /> ---------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: �" <br /> Survey Submitted: s No D te of urvey: <br /> Proposed Setbacks � � <br /> Front (Lake>� : Right S�de: �` <br /> J <br /> Rear (Str4�et) : ` Left S�de: <br /> Adjacent� Structur s: / %� Wet ��� <br /> Ex sting �i Propo �' d <br /> ; <br /> � <br /> Hardcover: f�75' '/ <br /> 75-250 ' ! � <br /> i <br /> 1 <br /> Hardcove � Variance Req ire : Yes No Date of C uncil Approval: <br /> Grading Staff Approva D te: B : Coun il Approval Date: <br /> Septic: Staff Approval tes BY� ' . <br /> Zoning File: # Resolution #: Resolution Date: <br /> RRMARRS (in house) : <br />