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CCK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t o OP.500 a(/L74-4J Kc , 5 PID: Dia.,- l 17- a 3 a/ D.0,22, 3 <br /> DESCRIPTION OF WORK: /Y-gatA tyluoixo-dAjp-4fL., ,,-- - <br /> ZONING REVIEW BY: g U DATE APPROVED: 4q;(0/4 <br /> BUILDING REVIEW BY: DATE APPROVED: N -1(v'`( ( <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT /✓, No <br /> PLAN REVIEW Yes V/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes V No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ,%' PARK FEE <br /> SAC Yes No t- SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: V ri Post Office: C, School District: NC. <br /> t <br /> Lot Area: 6v(o 1 SOP- 4 Width: j 4 / Depth: c2�O <br /> Survey Submitted: Yes V- No Date of Survey: S)Robl <br /> Proposed Setbacks : AA`` <br /> Front (Lake ) : !v Right Side: //.b <br /> 1 <br /> Rear ( Street ) : Mile, Left Side:__4______ <br /> Adjacent Structures : (AQS / Wetland: II <br /> Building Height: Def. Egt. itjAJ Peak Egt. / C- <br /> A v g. <br /> Avg. /1)1C-Setback: Lot Coverage: 'Ph 41r- 7 <br /> • Esting Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No X Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />