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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> • ' PID: <br /> ADDRSSS OR LEGAL: ��I�� Q D�t^^3 PO/N'j — <br /> D.ESCRIPTION OF WORR: A-OOlTlO� OV e� ����v`�s�y ��P�`r�"� �v���o� <br /> -------------- ---------- <br /> --------------------- -- ---------- -- <br /> �ONING REVIEW BY. Q� i DATE APPROVED: l0 -7- � `� <br /> BIIILDING REVIEW BY� C�� DATB APPROVED: (C� •-7- 5� <br /> --------------------- ----------- <br /> FEES TO BE CHARGED: Misc. Fees CaJ�culated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes c/- No SEWER CONNECTION <br /> STATE SURCHARGE Yes (j No WATER CONNECTION <br /> INVESTIGATION FEE Yes No f ; PARK FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------ <br /> ZONING CHECR LIST Zoning District: <br /> Fire Departm t: P st Offi e: _ Sch ol District: <br /> Lot Area: Wi th: Depth: <br /> � <br /> Survey Subm tt d: Yes �o Da e of Survey: <br /> 1 <br /> Proposed S tbac s: � <br /> Front (Lak ) : _ R gh Side: <br /> Rear (Stre t) : � ef Side: <br /> Adj cent St uctures : Wetland: <br /> Bui]:ding Height: Def . gt. Peak Hgt. <br /> , <br /> Avg. Se back: Lot Coverage: <br /> Existing Proposed <br /> Hardco er: 0-75 ' 11 � / <br /> � <br /> 75-250 ' ` <br /> 250-500 ' <br /> ' f <br /> 500-1000 ' <br /> Ha dcover Variance quired : Yes o D e of Council Approva� : <br /> Gr ding: Staff Approva7. Date: By: Council Approval Date : , <br /> Septic: Staff Approval Date: BY= . <br /> Zoning File• # Resolution # : Resolution Date: <br /> REMARRS (in house) : <br />