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. . CHECR OFF LIS.� F.(3R ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI,: � � � � ��� ._. � C /i���< PID: � j - �� � - `f <br /> '�� ��[ c`c. <br /> DESCRIPTION OF WORR: �� �� - - ��� �- � �� ' <br /> ------------------- - -- ------- ---�--------- <br /> ------.----,------��-------------_ <br /> ZONING REVIEW BY: t�.-- ' DATE APPROVED �?- Z�` � <br /> BDILDING REVIEW B : DATE APPROVED: �7 " Z-l-`�`� <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No ATER CONNECTION <br /> INVESTIGATION FEE Yes ✓ No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: �/�,-/L <br /> Fire Department: P t i e: ����G���r�� <br /> ��ot Area: � Sy I�-G/t,C-�S Wi Depth: <br /> Survey Submitted: Yes � No Date of Survey: � ���� <br /> Proposed Setbacks : � <br /> F-�ant (Lake) : s` � Ri ght Side: /V�� <br /> Rear (Street) : �✓�/-�- Lef t Side: �nT WT Li� <br /> Adjacent Structures: Wetland: <br /> Building Height: Def . Hgt. G � Peak gt. <br /> Avg. Setback: ot overa e: <br /> Existin Pr pose <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Re ired: Y s o Date o Council Approval: <br /> Grading: Staff Appro al Date: By: Co cil Approval Date: <br /> Septic: Staff Appro al Date: By: <br /> Zoning File: # - - Resolution # : - Resolution Date: " ' <br /> REMARRS (in house) : <br />