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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> 0 <br /> ADDRESS OR LEGAL: /00S 641W6 C4Xe A440 PID: <br /> DESCRIPTION OF WORK: b c-c-K. <br /> ZONING REVIEW BY: 05 (,C/.LK.^ DATE APPROVED: A) --.2.-2-9(1 <br /> BUILDING REVIEW BY: ( — DATE APPROVED: /0 -27 -5"( <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes '— No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v- PARR FEE <br /> SAC Yes No 1 SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 22-/6 <br /> Fire Department: Lo,J5 Gv� Post Office: /1(4,_ School District: 4" <br /> cJ <br /> Lot Area: Ala C/t Q Width: '— Depth: <br /> Survey Submitted: Yes Pc No Date of Survey: c c=A c e <br /> Proposed Setbacks: <br /> Front (Lake) : /0 44 Right Side: /a//4 <br /> Rear (S t) : 70 t Left Side: /4.7;06' <br /> Adjacent Structures: 4-7-77gceF019 Wetland: /A(01- <br /> Building Height: Def. Hgt. Peak • gt. <br /> Avg. Setback: ` Lot overate: <br /> Exis • P opose' <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000' <br /> Hardcover Vari. nce Required: Y=s No sate of Council Approval: <br /> Grading: Starf Approval Date: By: Council Approval Date: <br /> Septic: St- ff Approval D .te By: <br /> Zoning Fi e:# -esolu ion #: Resolutipn Date: <br /> REMARKS (in house) : II <br />