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CHECK OFF`OR LISTF FOREISSII NOCE OF PERMITS <br /> Y <br /> ADDRESS OR LEGAL: (goo C/d ery.4„2./ 15 PID: ® 9- //7 3 /3 eco? <br /> DESCRIPTION OF WORK:``n /776,e <br /> '7 , , e_ <br /> 9 ZONING REVIEW BY: 1. - DATE APPROVED: IU -i -% <br /> BUILDING REVIEW BY: 4 d(Jo� -- DATE APPROVED: I 0' -c1 l <br /> SEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes-77YNo SEWER CONNECTION <br /> STATE SURCHARGE Yes .Z No WATER CONNECTION <br /> INVESTIGATION FEE Yes NOSITE INSPECTION <br /> FEE <br /> SAC Yes No <br /> Number of SAC Units OTHER (specify) <br /> ZONING chECX LIST Zoning District: P.R.1( <br /> Fire Department: �ryvy Lr <br /> Post Office: V:A4/2 School District: d4 <br /> Lot Area: 110, 1114.4fOti i dth: Z`'1. y 7 Depth: 3c1 Rv� <br /> Survey Submitted: Yes Q(' No Date of Survey: 10 -1- QI( <br /> Proposed Setbacks : <br /> Front (Lake ) : 2-6 R1cht Side : <br /> ?0' <br /> Rear ( S•tz-ee-t-) : 15 Left Side: 22 <br /> Adjacent Structures : hm' Wetland: /U/ti <br /> Building Hecht: Def. Hgt. /I/41- Peak Eat. <br /> Avg. Setback: AN Lot Coverage: <br /> Existing proposed <br /> Hardcover : 0-75 ' A <br /> 75-250 ' A / Ai, <br /> 250-500 ' all <br /> 500-1000 ' <br /> 9To <br /> Hardcover Variance Required: Yes No K. Date of Council Approval:__ <br /> Grading: Staff Approval Date,: By/ J - Count ' Approval Date: <br /> L. <br /> /I <br /> Septic: Staff Approval Dat : ;= By: / <br /> Zoning File7eioy_i/ <br /> so utso utor. Date/ i <br /> ///// // -1.i <br />