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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE' USE 'ONLY <br /> ADDRESS OR LEGAL: ,.1_22. Da...tYK0_:.-CDPt. ... PID: <br /> DESCRIPTION OF WORK: .A0(�Co C-2611- intC\ 44r <br /> ZONING REVIEW BY: wQ, C <br /> DATE `APPROVED 5.7- 2 Ziv j _. <br /> BUILDING REVIEW BY: �" 1JO DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> C 11J4 Pi v (T tooc•Jac.. y,4 .S 2 + <br /> PERMIT Yes No J <br /> PLAN REVIEW _ Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: , - 26. - By:o 'O . Council Approval Date: -.S--Z3-5'4( <br /> Septic: Staff Approval Date: /2/(/ By: <br /> Zoning File:# J `(f Y- Resolution #: Resolution Date: S- Z3 --i Y <br /> REMARKS (in house) : <br />