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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��l o ivo/t nN A� aR <br /> PID: <br /> DESCRIPTIONOF WORK: NE w 2CS• <br /> ZONINGREVIEWBY: DATEAPPROVED: /o-Y- +-s <br /> BUILDING REVIEW BY.• DATEAPPROVED: � o •,� -o � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes_� No <br /> PLANREVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC Units � '�Yt 7/ I�-i7•7 s' OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: Schoo!District: <br /> Lot Area: Sq.ft. 35 f S�'� Acres •� Width Depth <br /> Survey Submitted: Yes x No Date of Survey: g• I Z� S <br /> Proposed Setbacks: <br /> Frant(Lake): I 13•�t Right Side: �d•S <br /> Resr(Street): '�R.� Left Side: >>•Z 7 <br /> Adjacent Structures: /✓//1 Wetland: /�/� <br /> Building Height: Def. Hgt. d.K- Peak Hgt. — <br /> Lot Coverage: � .� ��o <br /> Grnding: Staff Approvul Date: 10-'"�'� 'S By:��T•K Council Approvul Date.• <br /> Septic: StaffApprovul Dute: N Ila By: <br /> ZoningFile: # OH-3ooZ Resolution: # Resola�tionDate: <br /> Sho�•eland District.• v.Ps <br /> Avg. Setback.• D.K BI��Setback: �J /� LotCoverage: g <br /> Existing Pr�oposed <br /> Har•dcover: 0-75' S�a <br /> 75-250' 2 y.V� <br /> 2S0-S00' ?�fS.7 <br /> S00-10U0' <br /> Hardcover Yariance Requt�•ed: Yes No � Date of Council Appj•oval: <br /> REMARKS(in house): <br /> 33 <br />