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CgF;Cg pFF LIST FOR ISSIIANCE OF PL?RMITS <br /> � ' FOR OFFICE USE ONLY <br /> � 3 5 /VOR Z`1� r=c�0�� 2`9 PID: <br /> ADDRESS OR LEGt'�L: (� <br /> D$SCRIPTION OF WORR: C`4S��•s �- ------------------------ <br /> ---------------------- <br /> ---- <br /> ------------ DATE APPROVED: <br /> ZONING RE`7IEW BY= <br /> DATS APPR0�7ED: <br /> BIIII,DING REVIEW BY: -------- <br /> ----------------------- <br /> ----------------- <br /> FEES TO BE CHARGED- Misc. Fees Calcu�ate y� <br /> PERMIT Yes_�No <br /> gEWER CONNECTION <br /> PLAN REVIEW `-'eS�/No WATER CONNECTION <br /> STATE SURCHARGE YeS � No p�gR gEE <br /> IWESTIGATION FEE `�eS No SITE INSPECTION <br /> SAC YeS OTHER ( specifyl <br /> Number of SAC Units ----------------------'---- <br /> --------- <br /> ---------------------- �R_,g <br /> -- Zoning District: <br /> ZONING CBECR LIST <br /> Fire Department : t�sf�42A-TA <br /> Post Office- u�+r.�.�z�� Schoo� District: wAy��►?�► <br /> Lot Area: �t�3�-t <br /> „�- Width: �n�.=���� _ Depth: — <br /> Survey Submitted• Yes� No Date of Survey: 3-Z3-�O� <br /> Proposed Setbacks : Right Side- <br /> Front (Lake ) : <br /> Rear ( Street) : <br /> Lef t Side: <br /> Adjacent Structures : <br /> Wetland : <br /> Building Height: Def . figt. <br /> Peak Hgt. <br /> Avg. Setback: L�pr000sedge• <br /> Existing P <br /> Hardcover: 0-75 ' _ <br /> 75-250 ' � G -� <br /> ; <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No <br /> Date of Council Approva�:�_ <br /> Grading: Staff Approval. Date: BY= <br /> Council ApprovaJ. Date: <br /> Septic: Staff Approval Date: By= <br /> File- # Resolution #- Resolution Date : <br /> Zoning - <br /> gg,MARRS (in house) : � <br />