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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: </YO O c.0 6-O`"5 UC PID: <br /> DESCRIPTION OF WORK: 0 LIQ <br /> ZONING REVIEW BY:. (` `� ( DATE APPROVED: S- • 9 - 5 S <br /> U <br /> BUILDING REVIEW BY: 661.--- DATE APPROVED: 5 <br /> _ c7_ qs- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ' No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes 77--- No WATER CONNECTION <br /> INVESTIGATION FEE Yes c-No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> t-- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: , Z,3cw s`1 6- Width: (2-3 f�v- Depth: /00 <br /> Survey Submitted: Yes 7< No Date of Survey: 3-23-`t5 <br /> Proposed Setbacks : <br /> Front (Lake) : Right Side: <br /> o.k (Z&$oc.,-n-o'- <br /> Rear (Street) : Left Side: ft g`tfS 4 <br /> Adjacent Structures: /1-7 .14-C1J Wetland: 4/61- <br /> Building Height: Def. Hgt. Peak Hg . <br /> Avg. Setback: of average: e)•K <br /> Exist'n• Proposed <br /> Hardcover: 0-75 ' / <br /> 75-250 ' al <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance •equired: Ye o Date of Council Approval: <br /> Grading: Staff Ap• oval Date: :y: Council A•oproval Date: <br /> Septic: Staff Ap•roval Date: Ir By: <br /> Zoning File: # <br /> Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />