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� • CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � " FOR OFr^IC� USr. OiILY <br /> �•�nRESS OR ZEGA.L: �� 5 (��Y���r�V`� r ���� PID: . <br /> �+?SCRIPTION OF WORR: ��'`��� F' ��-�'r'� � <br /> ---------�����--_--------------------- <br /> ---------��_4 3 <br /> )�TING REVIET�1 BY: '� ` DATE APPROVED= �� <br /> �.r <br /> �—' � /c� �—�i <br /> �' -��"��: DATS APPROVED: ---�-�' <br /> 3IIILDING RL�7IEW BY: �.. c � <br /> --------------- -------- <br /> �EES TO BE CHARGED: Misc. Fees Calculated By: <br /> �ERMIT Yes '��No � <br /> -LAN REVIEW Yes No ✓�� SEWER CONNECTION <br /> �TATE SURCHARGE Yes �� No �,y P�RFEE�ECTION <br /> "i�7VESTIGATION FEE Yes No <br /> :�C � Yes No�� SITE INSPECTION <br /> vu�'nber of SAC IInits OTHER ( specify) <br /> ------------------------------------ <br /> ------------------n----- <br /> :ONING CHECR LIST Zonzng District: (._.>� '�� <br /> �re Department• � °` Po�'� f ' ce• ' -__School District: <br /> � . �•. ��.•• . <br /> ::ot Area: Wid�h. <br /> � / Y� <br /> �urvey Submitted: Yes %� No Date of Survey: �i � � �" � � <br /> ?roposed Setbacks : � � <br /> ��, (Lake) : � �,�U� �+ Right Side: � � +N <br /> ` ��' �-f Lef t Side: �`�v���� S <br /> �-- (Street) : �`�� <br /> Adjacent Structures : �-((-' � �= Wetland: �'� 7�_ <br /> :aailding Height: Def . Hgt. �.% 1�-- Peak Hgt. <br /> Avg. Setback: � - tL Lot Coverage: <br /> Existing Proposed <br /> Fiardcover: 0-75 ' <br /> 75-250 ' � (� <br /> 250-500 ' <br /> 500-1000 ' <br /> iardcover Variance Required: Yes <br /> No� Date of Council Approval: <br /> g Council Approval. Date: <br /> Trading: Staff Approv 1 Date: y= <br /> Septic: Staff Approva Date: By' <br /> ResoJ�ution Resolution Date: � <br /> "'oning Fi�e:� � -- , <br /> � <br /> ;tEMARKS (in house) : <br /> ! <br /> ; <br />