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CHECK OFF LIST FOR ISSUANCE OF PERiVIITS <br /> _ FOR OFFICE USE ONLY � . <br /> ADDRESS OR LEGAL: 31�� (_,\V( N G ST O N �� �-� <br /> PID: <br /> DESCRIP'ITON OF WORK: N�. W �Z�:.5 <br /> . � • <br /> ZOr1�'G REVIE`�BY: �Q DATE APPROVED: l o •�f - c�o <br /> BUILDI�i 1G REYIEtiV BY: DAT�APPROYID; �� -'{- o� <br /> FEES TO BE CHARGED: Misc. Fees Calc�lated By: <br /> pERMIT Yes ✓' No :. <br /> pI,,AN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTTON �5�-v '° <br /> INVESTIGATION FEE Yes No ✓- PARK FEE <br /> SAC Yes _�G No - �7SITEINSPECTION <br /> Number of SAC�Units 1. OTHER (specify) <br /> ZOr'�IG CH�CB LIST Zoaing District: �-� -�� - � <br /> Fire DeQarcment: �0 U N(� Post OfFice: W Y��/Z ATY� School District: 1,.�cr ST�Nk,� � <br /> Lot Area: Sq.ft. (�t 2� Acres ,0�{ Width 3O Depth !p�{ <br />( Survey Submitted: Yes � No Date of Survey: 9 ' t�1 'l7 C7 <br /> Proposed Setbacks: � <br /> Front(L-ake): Z 2 Right Side: � l� <br /> Rear(St�eet): (o Left Side: ! O <br /> Adjacent Scructures: A�-r����e c9 Wetlaad: N (A . <br /> Building Height: Def. Hgt. p.� Peak Hgt. — <br /> Lot Covera�e: N � � <br /> Grading: Staff Approval Date: �" By: Council Approval Date: _ <br /> Septic: Staff Approval Date: —' By: <br /> Zonin;File: # —' Resoluuon: /# Resolutioa Date: . <br /> Shoretand District: N C7 <br /> Av;. Setback: Blufi Setback: LocCovenge: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' _----- <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�IARKS (in house): <br /> 7 <br />