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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICEUSEONLY <br /> ADDRESS OR LEGAL: z '7 p-o (fid &�. � - �G� PID: - // -7' 1 2 0 <br /> DESCRIPTION OF WORK: <br /> --------------------- ------------------------------ <br /> ZONING REVIEW BY: ,.-- DATE APPROVED:— 1�1 - y -`r3 <br /> BUILDING REVIEW BY: �C� - DATE APPROVED: C E{`Ct 3 <br /> ------------------------ ----------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 4-*�' 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--u SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> r- <br /> Fire Department: P stfice c istrict: <br /> Lot Area: dth: Dept <br /> Survey Submitted: Yes No Date of Survey: <br /> *- of./ F,Ll <br /> Proposed Setbacks: <br /> Front (Lake) : i 3.0 ' --t- Right Side: 70 � a- <br /> RAe-r (Street) :— /V 113 Left Side: t <br /> Adjacent Structures: p¢7-0G«-4;'0 Wetland: 4.114 <br /> Building Height: Def . Hgt. W14 Peak Hgt. <br /> Avg. Setback: 0.1t A <br /> Pet ,aq4L g"M Lot Coverage: IVI <br /> Existing Proposed <br /> Hardcover: 0-75 ' NIC-- <br /> 75-250 ' /S-/ t <br /> 250-500 ' /ri <br /> 500-1000 ' <br /> Hardcover Var4eReZedYei N Dat of C uncil Approval: <br /> Grading: StafBy: Co cil Approval Date: <br /> Septic: Staff <br /> Zoning File• # o #: esolution Date: <br /> REMARKS (in h <br />