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• CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> , <br /> ADDRESS O�t LEGAL DESCRIPTION: �-- ;�-� ��� �-�. �`' �. , � ; �' ��� � � <br /> PID: r' � ' ���" �. �- <br /> ,� <br /> DESCRIPTION OF WORR: ��' L' � � `i �'�- � i � , ' `- ����� °�� � <br />-------------------d�'� \- ------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: ��Z 3"' 9 C� <br /> r <br /> BUILDING RLVIEW BY: (� .DATE APPROVED: � • Z�(- CG� <br /> PERMIT ISSUED BY: DATE: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ' ��' „_ <br /> , <br /> e-a� <br /> PERMIT Yes No SEWER UNIT $ ��S"""' <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION I �Z �? L�� <br /> STATE SURCHARGE Yes �'� No WATER CONNECTION <br /> PENALTY Yes No � PAR T FEE ��C.J�_� <br /> / N l /��''.����M ��. <br /> SAC � �� ��` Yes ✓ No SITE INSPECTION -`�""""��"�" <br /> OTHER (specify) <br />------------------------------------------------------------r---------------- - <br /> ZONING CHECR LIST Zoning District:��; I '� <br /> Fire Department: Post Office: �C � School District: � -- <br /> .. ,• - �. , , <br /> f ��, � �--� <br /> Lot Area: - � L�� . ._ Width. " � s " Depth: �rp(� + <br /> Z � ' ,',; � <br /> Survey Submitted: Yes� No Date of Survey:�,�G'� � �Z <br /> �,E., a � ��/U <br /> Proposed Setbacks: ,�`,� s��,�:: a�� <br /> , {� <br /> : <br /> �� (Lake) : �l � ' ' Right Side: :'� V�� �'� - Z('' D�� <br /> .-� � � I '' <br /> -�ear• (Street) : ?� � � _ Left Side: /� �.� ��'� f�1F °�°�`` <br /> �tSoW�I�s+��z►-���1 � <br /> Adjacent Structures : `y.� , " Wetland: `��"�' =5�1�{/s�f�'?- 1p,2� o <br /> Existing Proposed �(L <br /> " `• /� � �r�c.,�.�_�, .:.����_;' . ;r_ _. <br /> Hardcover: 0-75 ' � �`�� � �� <br /> 75-250 ' � -� <br /> , — �:;�, <br /> Hardcover~Variance equire : Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: y Z3``�C� By:�ir' " Council Approval Date: <br /> Septic: Staff Approval Dates � BY� `�� ' <br /> Zoning File: # Resolution # : NOf���`� Resolution Date: f'���'r'� <br /> REMARKS (in house) : <br /> 8 <br />