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4 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1%91'S" 0 e ?'N <br /> PID: <br /> DESCRIPTION OF WORK: Oe-uc two ?X rult,`"t- 11.ex.), <br /> ZONING REVIEYV BY: Age DATE APPROVED: 3-I t• (35- <br /> BUILDING <br /> sBUILDING REVIEW BY: 1XNY DATEAPPROVED: a- -°c <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes v• No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) --__-_�-�---- <br /> ZONING CHECK LIST Zoning District: Cat- IA <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq f.3 b,'35 Acres I.3`B'7 Width YZ/6 @sHotetmsApe Depth <br /> Survey Submitted: Yes No Date of Survey: 2 - <br /> Proposed Setbacks: , <br /> lomat(Lake): S(o Right Side: <br /> Reel'(Street): I ZS' Left Side: <br /> Adjacent Structures: A-r t =- Wetland: rt IA- <br /> Building <br /> hBuilding Height: Def Hgt. 14 1.4- Peak 1-fgt. -- <br /> Lot <br /> Lot Coverage: tJ(A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 05-301 Resolution: # Resolution Date: <br /> Shot-eland District: \i-e5 <br /> Avg.Setback: Bluff Setback: /V('1 Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' to.19 to..7c, <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 31 <br />