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� • ` CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRBSS OR LEGAL: 23� �O K ST PID� <br /> DESCRIPTION OF WORR: bAsew�n-r�- �N�s �--�� <br /> ---------------------- --- <br /> -------------------------/�--- -- <br /> ZONING REVIEW BY- ��,.�(SLitnn{,�.� DATE APPROVED: 2 "c►- 5 S <br /> BIIILDING REVIBW BY: �_ DATS APPROVED: Z-S - �S <br /> ----------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �- No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes Nor� PARK FEE <br /> SAC Yes No�� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------- <br /> ------------ <br /> ZONING CHECR LIST Zoning District: R2-1� <br /> Fire Department• Post ffice: School. District: <br /> Lot Area: Width� Depth: <br /> Survey Submitted: Yes�_ No Date of Survey: bN t=� u= <br /> Proposed Setbacks: � <br /> Front (Lake) • 3 os f Right Side: �"�3� -t ��� <br /> Rear (Street) : (�po` � _ Lef t Side: �Ic�` t � <br /> Adjacent Structures: A�� Wetland: �l//r� <br />, Bui].ding Height: Def. Hgt. /J �/�i- Peak Hgt. <br /> Avg. Setback: Lot Cove age: <br /> Exist n ropo�ed <br /> , <br /> / <br /> Hardcover: 0-75 ' <br /> i <br /> 75-250 ' <br /> 250-500 ' � �� <br /> ; , �,�-- ----. <br /> 500-1000 ' ' <br /> Hardcover Varian,ce Required: es No Date of Council Approval: <br /> Grading: StaffjApproval Date: Council Approval Date: <br /> Septic: Staff 'Approva� Date. BY= <br /> i <br /> Zoning Fi7�e: Resoluti�n # : Resolution Date: <br /> REMARRS (in house) : , <br />