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1 <br /> CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> , , . ,�� , .: � , 1 3 j-� c���..3 <br /> ��xEss ox LEc�: `���� ���' ��<���_�� �c��� Pzn: .� �-i/�Y � � <br /> DESCRIPTION OF WORR: �CLI� - `M ��W`°�`� fi 6iAR'�`�� �m�- ��N �5 H <br /> ---------------------------- <br /> --------------- <br /> ZONING REVIEW BY- DATE APPROVED: -7- I-1``�5 <br /> BIIILDING REVIEW BY: DATB APPROVED: ">-17- � S <br /> ---------------- ---------- <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT Yes t/� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------ <br /> -------------- <br /> ZONING CHECR LIST Zoning District: (Z��1� <br /> Fire Department: L L Post Office: (_�- School District: p�N� <br /> Lot Area: �v o c.�+4-N0 e Width: — Depth: — <br /> Survey Submitted: Yes �c No Date of Survey: o�v i=�� <br /> Proposed Setbacks : <br /> Front (Lake) • /v�� Right Side: N (/� � <br /> Rear (Street) : N�/a- Lef t Side: -1 � !�� <br /> Adjacent Structures : Arnti��-� Wetland: 2to" <br /> Building Height: Def . Hgt. ��� Peak Hgt. ��� <br /> Avg. Setback• � -�- Lot Coverage: N�f� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> � <br /> , <br /> 500-1000 � <br /> Hardcover Varia� ce Req ' red: Yes No Date of uncil ApprovaZ:_ <br /> � un � 1 A rovaJ. Date: <br /> Grading: Staff Approval ate: B : Co PP <br /> Septic: Staff pproval. Da e: � i BY= <br /> Zoning File:# Re o ution # : Resol tion Date: <br /> REMARRS (in ho�se) : � <br /> O W N � S�lo� I.�`A'r�- Q 2�V K1 C. �=E�'.�1� <br />