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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L1145 No <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: L DATE APPROVED: ii <br /> BUILDING REVIEW BY: DATE APPROVED; l.t • .i�t-S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No' <br /> PLAN REVIEW Yes ✓' No SEATER CONNECTION r <br /> STATE SURCHARGE Yes No WATERCONNECHON <br /> INVESTIGATION FEE Yes No�� PARK FEE <br /> SAC Yes No L/ STTEINSPECTION <br /> Number of SAC-Units OTHER(specify) <br /> ZONING CHECK LIST Zoning District: L2- I <br /> Fire Department: rr.o o ow A Post Office: yv.e u n o School District: w C 5,T10 NYS <br /> Lot Area: Sq.ft. 204w-6S Acres .4-) Width /LM• S S' A-k Depth 1 37• Z 2 A of <br /> Survey Submitted: Yes K No Date of Survey: 10.0'9' <br /> Proposed Setbacks: <br /> beat(Lake): 13> fi Right Side: 1 I + <br /> Rw(Street): 3 Left Side: l I L t <br /> Adjacent Structures: A'rrAcjit,� Wetland: N 1^ <br /> Building Height: Def. Hgt. 0-le- Peak Hgt. o.k <br /> Lot Coverage: N (^ <br /> Grading: Staff Approval Date: p •1C By: 44• Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 2'&S2—. Resolution: # Resolution Date: ll-6'c7rt <br /> Shoreland District: �j e5 <br /> Avg. Setback: V.%- Bluff Setback: NO Lot Coverage: gt el: <br /> Existing Proposed <br /> Hardcover: 0-75' :2.110 2.1(. <br /> 75-250' 2 a 2`1•�8 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: if, 6 Ai <br /> REMARKS Cm house): <br /> 7 <br />