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' CHEC� OFF LLST FOR ISSUr�ii�iCE OF PERMITS <br /> � FOR OFFICE USE (�NLY � . <br /> ADDRESS OR I�EGAI,: �'% �� - 1 /t� --1f� �� � � <br /> PID: �':. N - �� � � � �3 � 3 � i� <br /> DESCRIPTION OF WORK: � � ;���� �� <br /> ------------- ------ <br /> ZONING REVIEW BY: � DATE A.PPROVED: L - i Z -'�� <br /> BUII.DING REVIE`V BY: _^ DATE APPROV�: z -�z -4 b <br /> - --------------------------- <br /> F`EES TO BE CHI-�RGED: �1isc. Fees Calculaced By: <br /> PERMIT Yes �' No <br /> PLAN REVIE� Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No v� SITE INSPECITON <br /> Number of SAC Units OTHER (specify) �w � <br /> ----------------------------- <br /> ZOiVING CHECK LIST � , � cn c: Sh eland District : <br /> .�- <br /> Fire Department: o O� e: <br /> Sch 1 i ' t• � <br /> l <br /> Lot Area: Sq.fr. <br /> Acres W idth Depth <br /> Survey Submitted: Yes p� No Date of Survey: ON C�'«-L.S <br /> Proposed Setbacks: � ,� <br /> Front (Lake): /U (� Right Side: �[�O <br /> Rear (Street): Zc�O� +' I.en Side: /�« <br /> :�djacent Structures: �TT�C�t-4ec� Wetland: N I� <br /> Building Heighr. Def. Hgt. (�_ � Peak H't. <br /> Av�. Setback: <br /> Bluff Set ack: t Coverage: <br /> Exist' roposed <br /> Hardcover: -75' <br /> 75-25 ' <br /> 250-5 ' <br /> 500-10 ' <br /> Hardcover ariance Req ired: Y s . o Date of Co cil Approval: <br /> Grading: Staff Approval Date: By: Coun il Approval Date: <br /> Septic: Staff Approval ate: By� <br /> Zo � g File: # Reso tion: � Resoluti Date: <br /> RE.'�TARK.S (in house): <br />