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CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � 1�D S �,� t ►�v /1►4 <br /> PID: <br /> DESCRIPTIONOF WORX: �Z.�n�a� w•4 �l �t� C�,G—�4i,U. <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: KJ I DATEAPPROVED: <br /> BUILDING REVIEW BY: � DATEAPPROTfED: b - I�-�7 <br /> FEES TO BE CHARGED: Nlisc. Fees Calculated 13y: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes� No SEWER CONNECTI�N <br /> STATE SURCHARGE Yes No WATER COItiNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y"es No SITEINSPECTION <br /> 1Vzmabe��of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST 7o��i��g Disrr�icr: Nv G?-E1411�G� <br /> Fire Department: Post Office: School District: <br /> Lot:1r�ea: Sg.ft. Acres Yf%idth Depth <br /> Survey Submitted: Yes No ate of Sur•vey: <br /> Proposed Setbacks: <br /> Fro�zt (Lake): Right Side: <br /> Rear(Str�eet): Left Side: <br /> Adjacent Struct2rr•es: 6[ tland: <br /> 13tiilding fleight: Def Hgt. P k Hgt. <br /> LoI Coverage: <br /> Grading: Stc7ff.Approval Date: t-: Cotrncilrtpproti�al Dale: <br /> Septic: Stnf'ftlpproval Ua1e: v: <br /> Zo��ing File: � Resolutio��: w Resolulioy�Date: <br /> Shorelnnd District: AdCGG'D Per•mit: <br /> ,-1vg. Setbac/c: BlcrffS'etbac � LotCaver�age: <br /> E,rrsling Proposed <br /> Hnrctcover: 0-7�' <br /> 7?-??0' � <br /> ?SO-�00' <br /> son-�ono� <br /> Hardcover 6ar•iailce Reqt�irecl: )"es :�'o Date ofCalrncil.=lpp�•oi�a(: <br /> REtYlARKS(in /roi�se): <br /> 33 <br />