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. �HEC� OFF i�IST FOR ISSU.ANCE OF �ERMITS <br /> ° FOR OFFICE USE ONLY� � . <br /> AADRESS OR�EGAL; 29�►5 vAM�.STOv.�W ��✓� <br /> PLD: <br /> DESCRIFT`IO�I O�'WORK: lt��c��i �- 3��-�- �Lry�-'��oG�. <br /> ZO:�IG REVIEtiV BY: ------ r4 -------------------- DATE APPROVED: <br /> gUII�TJING RE�VIEtiV BY: . . DA.TE APPROVED; 2.3-01 <br /> . r-=-- ----- ---- ---=------------------------�-------------—�--------------- <br /> k'EES TO BE C�-IAR.GED: Misc. Fees Calculated By: <br /> p�g�T Yes ✓ No <br /> PLAN REVTE�y � � Yes —� No SE�VE�2 CO�INECTION <br /> STATE SURCHARGE Yes —� No �A�KF-,RFEONNECTION <br /> INVESTICATION FEE Yes No � <br /> SAC Yes No �/ STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify} <br /> ZONI1tG CHE.CK LIST Zaning Districr. �to G���N -e , <br /> . Fize Department: Post.Office: School District: • � <br /> L,ot Area: 5q.ft. Acres ' Width peP� <br /> Survey Submitted:� Yes No Date of Survey: <br /> Proposed 5etbacks: • : <br /> Front(Lake): Riaht Side• . . <br /> Rear(St�ezt): Laft Side� <br /> Adjacent Structures: Wetland: <br /> �uil�lin�Hei�.c: Def. Hgt, Peal:Hgc. _ <br /> Lot Covera�e: <br /> Grading: S�aff f�pproval Da�e; y: Council Apgroval Date: � _ ' <br /> Szptic: Staf[Approval Dace: �� <br /> Zoain� File: R Resolutioa: � Resolution Date: __ <br /> Shorelar.d District: Lot Cove�a,e: <br /> Av,. Setback: Blu�f Setba k: <br /> E�.istino Proposed <br /> Kzdcover: 0-75' <br /> 75-2�0' <br /> 2�0-SC}0' <br /> S0a-l OC�J' <br /> ' 11�. r+f C_'niinril AnnrOV�: <br /> �?'�.Cv't'�i Zr.._.i?i:C'_ �:�^yL'!:AC: �;25 .+Q ._ . .i _� <br /> F.E�L�R�iS (in house): <br />