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` ` � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICF. USE ONLY <br /> ADDRESS OR LEGAL: ( 3(o O (=1z l..�'�T C�-} C R�G�=I� '"` pID= <br /> DESCRIPTION OF WORR: IGt;�I��'J c.._�"L -- <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: ��� DATE APPROV$D: <br /> BIIILDING REVI$W BY: DATB APPROVF.D: /U • 3 0'�i z- <br /> FEBS TO BE CHARGF.D: 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 Noc/ PARR FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> --------------------------------------------------------- <br /> ZONING CHECR LIST Zonin District: <br /> Fire Department: Post Office: School Di t ' ct: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of S rvey: <br /> Proposed Setbacks <br /> Front (Lake) : Rig t Si e: <br /> Rear (Stree ) : Le t Si e: <br /> Adjacent S ructur s: Wetland: <br /> Buil.ding Heigh a Def. Hgt. Peak gt. <br /> Avg. Setback: Lot Covera e: <br /> Ex sting Propose <br /> Hardcover: 0 75 ' <br /> 75 250 ' <br /> 25 -500 ' <br /> 50 -1000 ' � <br /> Hardcover Variance Re uir . Ye No Date of Council pproval: <br /> Grading: Staff Approv 1. D te: By: Counci]. App oval Date: <br /> Septic: Staff Approva D te: BY= <br /> Zoning iJ.e:# Resol tion Resol.ution Date: <br /> REMARR (in house) : <br />