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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE LISE ONLY <br /> � ADDRESS OR LEGAL: (� `fO �_C�'t G L� I�— ���I�-'� <br /> PID: <br /> DESCRIPTION OF WORK: ,�� . -,i�r�1 TP c�cm;�Lr��%�t cw► �% ����- '��ivc,� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING RE vIEW BY.• -�-}--I— DATEAPPRO[fED: ' � —�7 <br /> BUILDING REVIEWBY.• DATEAPPROVED: z-c�..: o� <br /> FEES TO BE CHARGED: Misc. Fees Calculatecl 13y: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEYV Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Nzrmber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------�- --------,n----------------------------------------------- <br /> ZONING CHECK LIST Zoning District: �1 \ `� � l•'� <br /> Fire Deparhnent: Post Offrce: School District: <br /> Got Ar�ea: Sq.ft. Acres Y�idth Depth <br /> Stiuvey Subnzitted: Yes ' No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Sdructz�res: Wetland: <br /> _`� � <br /> I� �� Bui(ding F/eight: Def Hgl. Peak Hgt. <br /> v� I ot Coverage: <br /> Grading: Staff'rlppr•ova!Dale: N��} By: �_ Cozmcil Appr•ova!Date: <br /> Septic: Stufftlpproval Date: By: <br /> 7oning File: # Resola�tio��r: # Resolutio��Date: <br /> SlTorelund Distr�ict: f1�ICY[�D Permit: <br /> Al�g. Setback: 6/a ff Setbnch: Lot Coverage: <br /> Existi��g Proposect <br /> Ha�•dcover•: 0-7.i' <br /> 7�-2.50' <br /> 250-�00' <br /> sno-�000� <br /> Har•dcover �'ariance Reqi�i��ed: }es 1Vo Date ofCoa�r�cil.<lppi�oval: <br /> REMARKS(in lzouse): C�SQ.� ir1 Cm -C 4�' ►v� � �z:.v�� <br /> �L . Vvt� 2C 5 � <br /> V�� CJ�..v S Q.VI � i Vl C�v <br /> O � i�lC%vl-C C�vt vvi i v►� t��uc,l-w�.S, <br /> �� <br />