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' ' '" CHECR OFF LIST FO1� ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��5�'I �/a4 K OT�- � U P PID= <br /> D$SCRIPTION OF WORK: �2��N G � ( �� C�� � �- y��S <br /> ------------ -- -------------------------_-----`(------------------ <br /> ZONING REVIEW BY:_� DATE APPROVED. C� 7`'`�'I <br /> BIIILDING REVIEW BY: Iv I� DATB APPROVED: <br /> ----------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> -- �n�-�n�'� <br /> PERMIT Yes�o <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 /> -------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Office: Schoo� District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> ( fi 1 <br /> Rear ( Street) : Lef t Side: �� <br /> � <br /> Adjacent Structures: S Wetland: <br /> Buil.ding Height: Def . Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' _ <br /> 75-250 ' �4,y r� <br /> (J � <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approvalz <br /> Grading: Staff Approval. Date: By: Counci]. Approval. Date: <br /> Septic: Staff Approval Date: BY= <br /> Zoning File• # Resolution # ' Reso]�ution Date: <br /> REMARRS (in house) : . <br />