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� � � • <br /> � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI,: �.��(1 �t�n.�Z`cyc-�c,�.� �(jt:-�- PID: /O-//� - a3 3 % D�9 �j <br /> D$SCRIPTION OF WORR: �Gi� �'�' <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �,(o QM�n� DATS APPROV�: S-�/�'SZ <br /> BIIILDING REVIEW BY: �/i1 DATS APPROVED: <br /> ------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/ No � � <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARR FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECR LIST -----------------Zoning District: �2'f� ------------------ <br /> Fire Department: Post Office: � SchooJ. District:�/Le.Ja <br /> Lot Area: Z6�,ZSo s �- �6� �W dth: �76 Depth: /� <br /> Survey Submitted: Yes� No Date of Survey: to -/-7S <br /> Proposed Setbacks: � � <br /> Front (Lake) : I 0 S ± Right Side: ��-/D 'F <br /> Rear (Street) : 37� Lef t Side: �S � <br /> Adjacent Structures: /U O �� Wetland: /✓�� <br /> Building Height: Def. Hgt. /L/�/-L Peak Hgt. <br /> Avg. Setback: Lot Co �rage: <br /> Exi t'ng Pro osed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500' <br /> 500-1000 ' <br /> Hardcover Varianc Requ red: Ye No Date ounc 1 Approval: <br /> Grading: Staff A prova Date: y: Council Approval Date: <br /> Septic: Staff A prova� Date: BY= <br /> Zoning Fi�e:� Res ution � Res lution Date: <br /> REMARRS (in h use) : ' <br />