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' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> .�_ . . FOR OFFICE USE ONLY <br /> ADDRESS OR I�EGAL: ,'� �� �a "�1- ' � ����' �i'� PID: ���'lI�' v�:J �f/ �`>C�'�� <br /> DE�CRIPTION OF WORR: �'`�`�� ���'��` <br /> -------- - ------- <br /> ----- -------------------------- <br /> ZONING RL�VIEW BY: DATE APPROVED: ���.� /�� <br /> BIIILDING REVIEW BY: <br /> C�� DATE APPROVED: �� � �' �y <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 SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECR LIST Zoning District ���✓� <br /> Fire Department: wA�z-- Post Office: c,JT� School. District: o�'^� <br /> Lot Area: �'O�C- Width: i✓lL- Depth: /��C <br /> Survey Submitted: Yes� No Date of Survey: <l''/��Z`7� <br /> Proposed Setbacks: � ��� � <br /> Front (Lake) : S"Z� Right Side: <br /> � fi- <br /> Rear (Street) : ��/1- Left Side: `�� <br /> Adjacent Structures: �1-T�el+c�� Wetland: ���'�- <br /> Building Height: Def . Hgt. , �L _ Peak Hgt. <br /> Avg. Setback: Lot Coverag : <br /> Existing Pr posed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' -- <br /> Hardcover Vari nce Re uired: Yes o Date of C uncil Approval: <br /> Grading: Staf Approv 1. Dat : By: Coun il Approval. Date: <br /> Septic: Staf Approva� Date BY= <br /> Zoning Fi]�e: R solution Res ].ution Date: <br /> RF�MARKS (in house) : , <br />