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� <br /> CHLCK OFF LIST FOR ISSIIANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �'1 S b � �I�Z+dl1 OliQl_�PID: . <br /> DBSGRIPTION OF WORR: LAI�� /�-�Q� 5 S'�7/R�S <br /> --------------------- ------------------------------------------------------- <br /> ZONING REVIEW BY:� DATS APPROVED: Y-Y�- cl`� <br /> BIIILDING REVIEW BY: DATS APPROV�: Y-Y"5� <br /> FE$S TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � 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 IInits OTHER (specify) <br /> -------------------------- <br /> ZONING CHECR LIST g i r' t: <br /> Fire Department• Post fice: h rict: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes� No Date of Survey: <br /> Ol� ���r <br /> Proposed Setbacks: <br /> Front (Lake) : yl/a Right Side: 3v �f <br /> Rear (Street) : /`�l�' Left Side: /Ov� -} <br /> Adjacent Structures: /2 � Wetland: /1�//� <br />� Bui].ding Heig : Def. Hgt. Peak . <br /> Avg. Setback: Lot Coverag : <br /> Existi g Proposed <br /> Hardcover: 0- 5 ' <br /> 75-2 0 ' <br /> 250-5 0 ' <br /> 500-1 00 ' <br /> Hardcover Va iance Re uir : Yes No Date of Cou cil Approval: <br /> Grading: Sta f Approv Da e: B : Council Approval Date:_ <br /> Septic: Staf Approval Dat : BY: <br /> Zoning File: R soluti n �: Resolut'on Date: <br /> RffirIARRS (in honse) : <br />