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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OOFICE USE ONLY <br /> ADDRESS OR LEGAL: `(U.5 C)L-6 E�PID: <br /> DESCRIPTION OF WORK: 41001 71&^) <br /> - <br /> _____ _ --------------------------- �� <br /> ZONING REVIEW BY: CF DATE APPROVED -7 . (0 . 5 ,5 <br /> - 5 ,5 <br /> BUILDING REVIEW BY: ltk4 DATE APPROVED: -7 - & -53 <br /> ------- --------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ----- No <br /> PLAN REVIEW Yes c�— No SEWER CONNECTION <br /> STATE SURCHARGE Yes -,-'- No WATER CONNECTION <br /> INVESTIGATION FEE Yes Noy' PARK FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> - <br /> ------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: JU-113 <br /> Fire Department:-- L L Post Office: LL- School District: 06ttvva <br /> Lot Area: /y0 Gfn!s�� Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> ON Fkaff <br /> Proposed Setbacks: I �/� <br /> Front (Lake) : `7� Right Side: <br /> Rear (Street) : (10� Left Side: q <br /> Adjacent Structures: Wetland: MA <br /> Building Height: Def . Hgt. J •k. Peak Hgt. ©• X <br /> Avg. Setback: N i f A Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> l <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance equire Ye <br /> Dat of Coun it Approval: <br /> B <br /> Grading: Staff App oval Da e: y' Council Approval Date: <br /> Septic: Staff App oval Dat By- <br /> Zoning File:# Re of tion Resolu ion Date: <br /> REMARKS (in hou e) : <br />