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i �� � CHECR OFF LIST FOR ISSIIANC? OF PERMITS <br /> FOR OFFICE USE ONLY <br /> AI?�RESS OR I.EG�L DESCRIPTION: <br /> PID: <br /> DESCRZPTION OF WORR: <br /> ------------------ <br /> ZONING RSVIEW BY: DAT$ APPROVED: <br /> BIIILDING REVIEW BY: .DATB APPROVED: �S D <br /> pERMIT ISSD$D 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 /> PENAZTY Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> OTHER (specify) <br /> ------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks : <br /> Front (Lake) : '�' <br /> ,�.--�- �Nt���' <br /> xear (street) : R��, � QV1RE,p N <br /> Adjacent Structures : $�'�� �``'G��R HE GN G <br /> Existing �• Nf ' � EA t�11N <br /> �iy• R <br /> 24, M�N���N� N�,C,HT . <br /> Hardcover: 0-75 ' �. -r'„�t1- <br /> 5? SM <br /> 75-250 ' <br /> Hardcover Variance Required: - <br /> Grading: Staff Approval Date: - <br /> Septic: Staff Approval Date:_ <br /> Zoning File:# Resolution #: Resolution Date: <br /> RFINARR$ (lII house) 2 <br /> F _ ------- -- _ ----- <br /> - - - ... ----__... <br />