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CHECR OFF LIST FOR ISSQANCE OF PERMITS <br /> , � FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL DESCRIPTION: 3l SS �AnnC-.STow r� ��A,p <br /> P:�D: <br /> DESCRIPTION OF WORR: �1�1'T�Q N I RE W�p 0 G L_ <br />------------------------------------------------------------------------------- <br /> ZONING REVIEW BY:� (�Qii,,..�,,,,� DAT$ APPROVED: Z.- ►�s •SZ <br /> BUILDING REVIEW BY: �� CQ�nnt�,,,� .DAT$ APPROVED: � - 145-��- <br /> PERMIT ISSUED BY: DATE: <br />------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No SEWER UNIT $ <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> PENALTY Yes No f PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> OTHER (specify) <br />------------------------------------------------------------------------------� <br /> ZONING CHECR LIST Zoning District: RR-1� <br /> Fire Department: L. .(�. Post Office: L•L School District: p/��a <br /> Lot Area: /U �L Width: - Depth: — <br /> Survey Submitted: Yes� No Date of Survey: � c� -z�s-S� 2E��s��p i- z9-5Z. <br /> Proposed Setbacks: <br /> �t (Lake) : Zss'-+- Right Side: 30' <br /> ��- (Street) : � �0� -} Left Side: iSD�+ <br /> Adjacent Structures: NJq Wetland: i-75�± <br /> Existing Proposed <br /> Hardcover: 0-75 ' _��� <br /> 75-250 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Datee By: • , <br /> Zoning File: # Resolution # : Resolution Date: <br /> REMARRS (in house) : <br />