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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z� 7� �O� S? <br /> PID: <br /> DESCRIPTION OF WORK: + �w ,2 �v`-z, ��,�,� N <br /> ZONINGREVIEW'BY.• ►'�1�� � ~ DATEAPPROI�ED: �N_��Y�___ <br /> BUILDINGREVIEi�'BY.• DATEAPPROf�ED: � -ZS ...pg <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: �___�____________ <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes �/ No SEi�'ER CONNECTION <br /> STATE SURCHARGE Y'es_/� No WATER CO?VIVECTION <br /> INVESTIGATIOIV FEE Yes No�� PARK FEE <br /> SAC Yes No_./ SITEINSPECTIO.'V <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------ <br /> ZONING CHECK LIST Zoning District: _�p G�y.�qri,� <br /> Fire Departnzent: Post Off ce: School District: <br /> Lot Area: Sq fL Acres G4'idth Depth <br /> Survev Submitted: Yes No Date of Survev: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Streetj: Left Side: <br /> Adjaceni Structures: YVet nd: <br /> Building Height� Def Hgt. p�Q� g�, <br /> Lot Cove�•age: <br /> Gi-ading: StaffApproval Date: By: CouncilApp��oval Date: <br /> Septic: Staff,�lpp�-oval Date: � '2`7— ��dB��: <br /> Zoning File: " Resolution: # Resolution Date: <br /> Sho�-eland District: AICN D Per-mit: <br /> .4vg. Setback. Bla ff Setbac�: Lot Coverage: <br /> Existing Pr-oposed <br /> Hardcover: 0-:'.i' <br /> i�-250' <br /> >>0-.i 00' <br /> �00-1000' <br /> Hardcover f"ariance Required: �es �'�'o Date of Coz�ncil.9pproval: <br /> REMARKS(i�r house): <br /> 33 <br />