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� � CHECR OFF LIST FOR ISSQANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL DESCRIPTION: � �G� �'j �Q��,�_ �S_�_ <br /> PID: ,J '" j/ 7 - �3 / 3 �c� � (!-' <br /> DESCRIPTION OF WORR: RE�I�Atp R��� �"T(Luc,�� 2-C <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: /U1i� DATE APPROVED: <br /> BUII,DING REVIEW BY: .DATS APPROVED: (p- L-4 Z-- <br /> PERMIT ISSUED BY: DATE: <br /> ------------------------------------------------------------------------------� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �No SEWER UNIT $ <br /> PLAN REVIEW Yes ` No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> PENALTY Yes No v PARK FEE <br /> SAC Yes No v SITE INSPECTION <br /> OTHER (specify) <br /> ------------------------------------------------------------------------------� <br /> ZONING CHECR LIST Zoning is ict: /' <br /> Fire Department: Post Office: Sch District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: es� No Date of S rvey: <br /> Proposed Setbacks: / i <br /> � / <br /> Front (Lake) Ri ht S de: L_ <br /> j� � <br /> Rear (Stree�) : L ft ide: � i <br /> Adjacent S ructures � We land: � <br /> Exis ing Prop `_ <br /> i <br /> Hardcover: 0- 5' � ` <br /> � <br /> � --�--- <br /> 75- 50 ' i <br /> Hardcover Variance Requi ed: Ye No�' Date of Co ncil Approval: <br /> Grading: taff Approval at : � !�By: Counc' 1 Approval Date: <br /> Septic: taff Approval D t s By: - , <br /> Zoning ile: # eso ution Reso ution Date: <br /> REMARKS' (in house) : <br />