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CH$CR OFF LIST FOR ISSUANCS OF PERMITS <br /> ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 35�7 LYR I�. A V� PID: <br /> D$SQtI PTION oF woRx: �(t�� t z X� � �M cn,�20 s� _ <br /> ------------------------ ----------------- . - <br /> ZONING REVIEW BY: DAT$ APPROVED- fQ �-�'tY <br /> BIIILDING REVI�T BY: DATB APPROVED: ( 0 - Z�-�l Y . <br /> -------------------�------------------------------------------------------- <br /> FS$S TO B$ CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning DistriCt: C.�`/L <br /> Fire Department: ost fice• ch District: _ <br /> � <br /> Lot Area: Width: h= <br /> Survey Submitted: Yes No � Date of Survey: <br /> l�s�� ���!-loi`-' <br /> Proposed Setbacks: , <br /> Front (Lake) : /'✓�/2 Right Side: z S <br /> Rear (Street) : (D� Lef t Side: 1 0� + <br /> Adjacent Structures: �� � -f- Wetland: /��i4�- <br /> Buil.ding Height: Def. Hgt. d. � Peak Hgt. (�,,� <br /> Avg. Setback: Lo Coverage. <br /> Existing Proposed <br /> Hardcover: 0-75 ' _ <br /> 75-250 . <br /> 250-50 ' <br /> 500-10 0 ' <br /> Hardcover V riance Re uir : Yes N Date of Cou cil Approval: <br /> Grading: S aff Approv J. ate: By: Council ApprovaJ. Date: <br /> Septic: S aff Approva ate: By: <br /> Zoning F ]�e:# Reso], ti # : Resolut on Date: <br /> R�iRRS (in honse) : <br />