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CHECR OFF LI3T FOR ISSIIANCE OF PF.RMITS <br /> } � FOR,�OFF7CE USE ONLY <br /> <:�=<<(� <br /> ADDRESS OR LEGAL: � �''{C �`� t (��i� ���-��`�=��� PID: <br /> DESCRIPTION OF WORK: I�-1 I'�-��� �s ���'t�~-- <br /> -------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: /'U %;� DATE APPROVED: <br /> „ <br /> BIIILDING REVIEW BY: ����, ��,:;����,ti�-� DATE APPROVED: i - �"�-? � � <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 No ��� PARK FEE <br /> SAC Yes No �-� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning Di/strict: <br /> i <br /> Fire Department• I%/ Post Office: Schoo7. -�istrict: <br /> Lot Area: ;'i Width: � Depth: � � <br /> Survey Submitted: ;'Yjes No Date of, Survey: <br /> ; <br /> Proposed Setbacksi ! - <br /> Front (Lake):": Right `Side: i <br /> ; <br /> Rear (Stre�'t) :� Lef t Side: i <br /> Adjacent �trucitures: Wetland: <br /> Building Height: Def . Hgt. Peaic Hgt. <br /> Avg. Setback": _ Lot Coverage: � <br /> �' Existing Proposed i <br /> ; <br /> ; <br /> i <br /> HardcoverJ 0-75 ' r ___----__ _{__ <br /> ;'�75-250 ' I <br /> � <br /> //250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approva�: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approva]. Date : By: <br /> Zoning File: # Reso].ution # : Resolution Date: <br /> REMARRS (in house) : <br />