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� CH$CR OFF LIST FOR ISSIIANCE OF PSRMITS <br /> FOR OFFICE USE ONLY <br /> '� - <br /> � <br /> ADDRESS OR LEGAL: ���"''- l �" ���_-�; � ���_ ; � �`�PID: <br /> ���= _c <br /> DESCRIPTION OF WORR: ,� i� ,P <br /> ------------------- -- (� --�_----------------------------------------------- <br /> ZONING REVIEW BY: ��„Q� SL�_ DATE APPROVED: S � 1-0I 1 � <br /> � <br /> BOILDING REVIEW BY: DATE APPROVED: ��� - � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes� No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� Na � pARKRFEENNECTION <br /> INVESTIGATION FEE Yes No / <br /> SAC Yes No �/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR I,IST Zoning District: a'/�� <br /> Fire Department: Post Office: �r�— School District: /�1` L <br /> Lot Area: G(��C_ Width: /�! C- Depth: /Cf�C— <br /> Survey Submitted: Yes � No Date of Survey: h - $-�7 <br /> Proposed Setbacks : � <br /> Front (Lake ) : Right Side: ( '30 � <br /> Rear ( Street) : /U Left Side: 2�uv � -� <br /> Ad jacent structures : (S � � wetland: /(/�/¢ <br /> Building Height: Def. Hgt. P ak Hgt. <br /> Avg. Setback: ot Cov rage: <br /> Existi Prop sed <br /> u?rdco��Ar; n-�5 � <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance equire : es No D e of Cou cil Approval: <br /> Grading: Staff Ap roval D te: By: ci Approval Date: <br /> Septic: Staff Ap roval D e• y: <br /> Zoning File:# R solut 'on # : Resol tion Date: <br /> RBMARRS (in use) : <br /> N � <br />