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CI3ECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1379 P�4Msz 02 <br /> PID: <br /> DESCRIPTION OF WORK: (',,,�n,4��� �AD i rc o i.l <br /> ZOYIi�TG RE'VIEW BY: DATE APPROVED: I I •$-oS <br /> BUII�DIl`G REVIEW BY: DATE APPROVED: �� -c� -6 S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW � Yes i/ No SEWF.R CONNECI'ION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONII�IG CHE.CK LIST Zoning District: G/L-I/3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc,B. 5 6, �`{'S Acres �.3 Width /y5 Depch <br /> Survey Submitted: Yes No Date of Survey: 6 •ZZ�bS <br /> Proposed Setbacks: <br /> Front(Lake): 1`77`"r Right Side: 1c16' �' <br /> Rear(Street): �2� �� Lef[Side: Z6� '–i <br /> Adjacent Structures: /v/il- Wetland: N�/4 <br /> Building Height: Def. Hgt. o ��l Feal:Hgt, a �� <br /> Lot Covera�e: °I.Z <br /> Grading: Staff Approval Date: NJ G�.�.r�,,� By: — Council Approval Date: <br /> Septic: Staff Approval Date: /�/1,A By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: �� <br /> Av?. Setback: c9.L�. Bluff Setback: N�� L,ot Coveraje: 9•Z <br /> Ezistin� Proposed <br /> Hardcover: 0-75' �/G ,�./� <br /> 75-250' 2y.Z 2y•b 1 <br /> 2�0-500' NY G <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS(in house): <br /> � <br />