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� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z Sv (-tb/�/�1�v/JP2 �a i4� pID- <br /> DESCRIPTION OF WORR: �A"R� R.�v'►'�nnc:.� <br /> ----------------------------------- • <br /> ZONING REVIEW BY: NI�' DATE APPROVED <br /> BIIILDING REVIEW BY: c��q DAT$ APPROVED: f - z Fr�S� <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �- PARR FEE <br /> SAC � Yes No ' SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning Distr' ct: <br /> Fire Department: Post Office: School Dist i t: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: es No Dat of Surv y: <br /> Proposed Setbacks: <br /> Front (Lake) R' ght Side: <br /> Rear (Stree ) : eft Side• <br /> Adjacent S ructur s : Wetland: <br /> Building Heigh : Def. Hgt. Peak Hg . <br /> Avg. Setback: L t Coverage: <br /> E isting Proposed <br /> Hardcover: -75 ' <br /> 7 -250 ' <br /> 2 0-500 ' <br /> 5 0-1000 ' <br /> Hardcov r Variance eq ired: Yes No Date of Council Approv ].: <br /> Gradin : Staff App ov 1 Date: B : Council Approval ate: <br /> Septi : Staf f Appr v 1. Date: BY= <br /> Zoni g File:# Reso ution #: Resolution Date: <br /> S (in house) : <br /> 1 r s fi � f�/ � i79 P2l JA C �� <br />