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011111, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> �FjOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL DESCRIPTION: `� s • <br /> PID: 07- / - 'a- 00 (1! <br /> DESCRIPTION OF WORK: AP i ~FAc--r <br /> ZONING REVIEW BY: DATE APPROVED: 4/-/7 <br /> BUILDING REVIEW BY:4 CO..‘-__ DATE APPROVED: ( I • Z6, -4310 <br /> PERMIT ISSUED BY: DATE: <br /> FEES TO BE CHARGED: J Misc. Fees Calculated By: <br /> PERMIT Yes " No SEWER UNIT $ <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes " No WATER CONNECTION <br /> PENALTY Yes ✓ No PARK FEE <br /> SAC Yes No j. - SITE INSPECTION <br /> OTHER (specify) 4 '7 F F <br /> ZONING CHECK LIST ZoningDistrict: <br /> Fire Department: 1/Ab Post Office: /",- 1> School Dist ict: Pew <br /> / <br /> Lot Area: �if� ) 3 � Y Width: /2 `_.� � Depth: p I ± <br /> lO -- <br /> Survey Submitted: Yes ✓ No Date of Survey: 5 2--- " 40 <br /> Proposed Setbacks: <br /> 1 i <br /> Previr (Lake) : �� � Right Side: v <br /> mar (Street) : 1/1..)T ( .± Left Side: ,3O "'- <br /> Adjacent Structures: Wetland: <br /> Existing Proposed <br /> Hardcover: 0-75 ' /////6 <br /> 75-250 ' lialA / /a S9 <br /> Hardcover Variance Required: Yes ,. ' No Date of Council Approval: //-13 -/& <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: -� By: ��.. <br /> Zoning File:# /5"-” Resolution #: 0-8 .76 Resolution Date: //-/3 -40 <br /> 0 <br /> REMARKS (in house) : PU c anl'r; 1 S";' .9 A la S 0 L € ' O(L4r /peck."... ►7 (A" <br /> $ ' tastk <br />