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. _ . GHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /�' L � ^ ��f�--- �� PID� ,�� ' I ►� ' �� �?, �?� ��1 a-J <br /> DSSCRIPTION OF WORK: 3 !�]/_li.l i :/.�.�' i <br /> --------------------� - --------------------------_--�_�_------------------ <br /> ZONING REVIEW BY: �_ DATE APPROVED c!y <br /> BIIZI.DING REVIEW BY: DAT$ APPROVED: 3"- C1— $ / <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes�^ No SEWER CONNECTION <br /> STATE SURCHARGE Yes J 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 �� /l� <br /> Fire Department: t�vA�yz.4-,Txi Post Office: �,v�4�ya�rt�1- SchooJ. District:Lcf/�u� <br /> --T <br /> Lot Area: NIC. Width: — Depth: -^ <br /> Survey Submitted: Yes�( No Date of Survey: Oc� Zd' 93 <br /> Proposed Setbacks : <br /> Front (Lake) : .�2� �' s Right Side: /� .t N <br /> Rear (Street 1 : I�(S � "�' Lef t Side: (3Z' � � <br /> Adjacent Structures : Y�TT�C.�-�c� Wetland: 12t� � -+_ <br /> Bui].ding Height: Def . �gt. Z 1.s � Peak Hgt. ZS` <br /> Avg. Setback• /l��/�" Lot Coverage: d •�C <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance equ red: Yes No D te of Co ncil P,pproval: <br /> Grading: Staff App val ate: y: Counc' 1 Approval Date: <br /> Septic: Staff Appr val. Da e: y: <br /> Zoning File:# R solut' on # : Res l.ution Date: <br /> REMARKS (in house) <br />