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� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> - �' ' FOR OFFICE USE ONLY <br /> '/ , ,1") � �, '< �f ��lY PID: �7- // 7 - '.:�� / / �c';'C:`'7 <br /> ADDR�:S S OR LEGAL:/( y 'l C > <br /> TJESCRIPTION OF WORK: ���I �'�' ��//�=�Lu�C(-- <br /> --------------------- ----- ------ - <br /> ----------- <br /> ZONING REVIEW BY: DATE APPROVED: fo - Z?-Gi S <br /> BIIILDING REVIEW BY: DATS APPROVED: �' ' 2� '`t 5� <br /> ------------------------- ------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �" �o <br /> PLAN REVIEW Yes f�N� SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No 4�' PARK FEE <br /> SAC Yes No .,� SITE INSPECTION <br /> Number of SAC Units OTHER (specif y) <br /> ------------------------------ <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post fic • ch�istrict: <br /> Lot Area: Width <br /> Survey Submitted : Yes_�C No Date of Survey: 3 ' <br /> ilo -95 <br /> Proposed Setbacks : � ' -�. <br /> Pre•r�t (Lake) : � p 3 � Right Side: 7� — 5 <br /> �-(Street) : IU/i'a- Left Side: Z5 � � <br /> Adjacent Structures : /�'���i1fC-� Wetland: /v��" <br /> Bui�.ding Height: Def . Hgt. � •�� Peak Hgt. �- �- <br /> � Lot coverage: /V��i <br /> Avg. Setback: C� • - pro osed <br /> Existing P <br /> Hardcover: 0-75 ' �" ° G�{ <br /> 75-250 ' 2"7. �� Z Y• g�'�° <br /> 250-500 ' <br /> 500-1000 ' -- <br /> Hardcover Variance Required: Yes NoQ Date of Council Approva�.: <br /> Grading: Staff Approval D C uncil Approval Date: <br /> Septic: Staff ApprovaJ� at : B ' <br /> Zoning File: # solution �- Resol.ution Date: <br /> REMARKS (in house) . <br />