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. CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 7�� �1 c PID:� � ' l I �"a 3 � 3 '��"7 <br /> DESCRIPTION OF WORR: <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: c�i,,,Qp DATE APPROVED: y-2�' - S 2 <br /> BIIILDING REVIEW BY: �� �QJv�n.�— DAT$ APPROVED: �'/- Z�'' '�l Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <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: R R-1(� <br /> Fire Department: L _ Post Office: L.l, . School District: U!j-o�U <br /> Lot Area: ��� Width: ytf�C Depth: N��- <br /> Survey Submitted: Yes� No Date of Survey: �,�'.� 7- 6� k`1 <br /> Proposed Setbacks : <br /> �-re�°r-t (Lake) : 3�a' -� Right Side: $0� � <br /> � Pa Y (Street) : nl � /� Lef t Side: Zoo' -� <br /> Adjacent Structures: �p� -4 Wetland: /'f�A <br /> Building Height: Def. Hgt. itJ/� Peak Hgt. <br /> Avg. Setback: � • � � Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' (�• ��" <br /> 250-500 ' � <br /> / <br /> � <br /> 500-1000 ' i <br /> Hardcover Variance Re ired: Yes N D e of C uncil Approva�: <br /> Grading: Staff Appro aI. Dat : By: Cou cil Approval. Date: <br /> Septic: Staff Appr val. Date. <br /> Zoning File:# R sol ion #: R solution Date: <br /> REMARKS (in hou e) : � <br />