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" � + CHECR OFF LYST FOR ISSOANCB OF PffitMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL DBSCRIPTION: ��(.O � �on�L-,Q�� � �i�� � <br /> TYPE OF WORR: � S��"�� f'D�c`-�} <br /> ZONING REVIEW BY: �/�'��;�- DATS APPROVED: ��' � - ���� <br /> Zoning District: �� � L/4 Lot Area: � , �� �--e_ � <br /> Fire Dept. : �,F�--, Width: 2-�X�� `� Depth: yQC��"�' } <br /> � <br /> Post Of f ice: 1 , �._. 1 Propose Setbacks: / i � <br /> Front: SD� � R.Side: <��' '}'"' <br /> Zoning File:# Rear: �' *- L.Side: �t- � <br /> Council Approval Date: `— Adjacent Structures: _ <br /> r <br /> t <br /> Resolution # : — Lake: �`�� '� Wetland: .�O ; <br /> . <br /> Hardcover: Existing$: ��- �;� � �/d �� Proposed$: z- -�' : L/b �� <br /> 30`o ,C!-/�Lvw�� <br /> Grading: Staff Approval Date: No�� Council Approval Date: �—� <br /> � <br /> Septic: Staff Approval Date: ���--�`�� By: f � � <br /> �� �r�r e� �� <br /> BDILDING R$VIEW BY: �k�- DAT'$ APPROV$D: �'1 - f�c -�5s <br /> OBC: �S� CONSTRDCTION TYPE: �----- <br /> BI,DG SIZE: H. L. W. ! <br /> SAC CHARGB R�QOIR$D: Yes No <br /> Sq. Footage: Estimated Construction Value l21(:b0 <br /> lst Floor x = <br /> 2nd F3.00r x = <br /> x = <br /> x = <br /> Garage x = <br /> TOTAL x = <br />���, <br />� Inspections Required: Work Requiring Separate Permits: <br /> ' Site Plumbing Grading/Filling <br />�; �QSF, 00ting Mechanical Fire <br />�; ��Framing Well Water Connection <br />�F Insulation Septic Sewer Connection <br />�� Wall Board Fireplace Other <br /> F;iYti. <br />�'�' �,Final <br /> Fireplace <br />�:; RSVI�W BY OTHERS: DATE: <br /> Access: Existing New <br /> Access Approval: ate By: <br /> RffiKARICS TO BS NOTED ON PERMIT: <br /> ,.�.,� .�r. <br />