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� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: LII Z� O A K s`r PID: <br /> DESCRIPTION OF WORR: 3 S{A S�� �o�-�'F <br /> ----------------------------------------------------------- <br /> Z ONING REVIEW BY:��L1tio.�-- DATE APPROVED: � �' S^ �3 <br /> BIIILDING REVIEW BY: DATE APPROVED: G 'Z! -�,� <br /> FEES TO BE CHARGED: Misc. Fees Ca1cul.ated 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 District: <br /> Fire Depart nt: P st Of ic : S h o ' ct: <br /> Lot Area: Wi Dept : <br /> Survey Submitted: Yes � No Date of Survey: �' �' �'3 <br /> Proposed Setbacks: r N <br /> Front (Lake) : /�� Right Side: D 3 <br /> Rear (Street) : N�b' Left Side: �� <br /> Adjacent Structures : /�TT��►'n Wetland: /✓�/� <br /> Building Height: Def . Hgt. ('.K Peak Hgt. <br /> Avg. Setback: �'�C Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' b <br /> �s-25o � 23��°t `'�9 z3•4Ss °�o <br /> 2so-5oo � ( n.'1�� 1�•� g �� <br /> 500-1000 ' . <br /> Hardcover Variance Required: Yes No� Date of ncil Approva�: <br /> Grading: Staff Approval ate: By unc 1 Approval. Date: <br /> Septic: Staff Approval ate: ` BY= _ <br /> Zoning File:# Reso ution �: R solution Dates <br /> REMARKS (in house) : . <br />