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�HEC� OFF i,IST FOR iSSUA.NCE �F PERNIITS <br /> FOR OFFTCE USE ONLY <br /> ADDF�.ESS OR LEuAL: S Ff�cK ��� lai z� <br /> �PLD: <br /> DESCRIPTION OF WORK: �p424�� /+/J����^f <br /> --------------------------------------------------------- <br /> ZOYI�IG REVIE`V BY: DAT'E APPROVED: 6- z5-e� <br /> ----- —�----- <br /> SLT.LLDING REVIE'4V BY: DATE APPROVED: 6 • Z� -o� <br /> F'EES TO BE C�-IARGED: Misc. Fezs Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIE`V � Yes �/ No SEtiVER COVNECTION <br /> STATE SURCHARGE Yes � No `VATERCONNECTTON <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Uruts OTHER (sgecify) <br /> -------------------------------------------------------------------------------- - <br /> ZONI�IG CHE.CK LIST Zaning Districr. <br /> Fire Depar[ment: Post Office: School District: <br /> L,ot Area: Sq.ft. �,/Z,D`t`� Acres o�11�� Width � 9y � Depth Z17 <br /> Survey Submitted: Yes _ � No Da[e oF Survey: I I• ►Z- S`a <br /> Proposed Setbacks: <br /> Froat (Lake): l�\.-S Ri�t Side: 16� <br /> Rear (Scree[}: � �3 Left Side: 12� <br /> Adjacen[ Structures: 7�� �Vetland: N(� <br /> Buil�ling Hei�t: Def. Hgt. p,� _ Pealc Hgt. <br /> Lot Covera�e: (7,1� <br /> Gradino: Staff Approval Date: 0.� By: — Council Approval Date: � � <br /> Septic: Staff Approval Date: /�l��q By� <br /> Zoain� File: # — Resolutioa: # Resolution Date: <br /> Shoreland District: nJ0 <br /> Av�. Setback: Bluff Secback: L.ot Coverage: <br /> E�istinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-16C0' <br /> F-iardcover Va�ia.cce Required: Yes No Da�e of Council Approv�l: <br /> R.E��LARKS (in house): <br />