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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: g695 /y001 51W2,G 52 PID: <br /> DESCRIPTION OF WORK: 6 ((UC 1� $ <br /> -------------------- -- -------------------- <br /> --------------- ----------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BIIILDING REVIEW BY: DATE APPROVED: <br /> ------------------ <br /> FEES 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 PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------ <br /> --------------------------------- <br /> ZONING CHECK LIST Zoning District: c.2- (6 <br /> Fire Department: Post Office: M School District: V!^ <br /> Lot Area: Width: i i�Gucm-2_ Depth: <br /> Survey Submitted: Yeses_ No Date of Survey: g•ZI-`lY <br /> Proposed Setbacks: <br /> Ex..an�t (Lake) : 5 Right Side: G� <br /> Rear (Street) : Ai /4 Left Side: (0' <br /> Adjacent Structures: /✓JA- Wetland: /J1A <br /> Building Height: Def. Hgt. Al JA- Peak Hgt. /y/A <br /> Avg. Setback: Lot Coverage: /1J <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes_ No Date of Council Approval: ocT 1K <br /> Grading: Staff Approval Date: 3-27-55' By: d�o- Council Approval Date:o--r zy4Y <br /> Septic: Staff Approval Date:_ J/la By: <br /> Zoning File:# Jcl7 ( Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />