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' CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE IISE ONL Y <br /> ADDRESS OR LEGAL: � �'3 ��G�-'���V <br /> PID: <br /> DESCRIPTION OF WORK l� <br /> -------------------------------------------- ------------------------------------------------------------------ ---�--- <br /> ZONING REVIEW BY.• DATEAPPROTjED: �� I U <br /> BUILDINGREVIEWBY: u DATEAPPROT�ED: S-��{-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes� No <br /> PLAN REVIEW Yes_/� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK F�E <br /> SAC Yes No SITE INSPECTION <br /> Numbe�'Of SAC UY1l1S pqip yay3 �.Z.,` OTHER (spec�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Distr•ict: � � <br /> Fire Departi�7ent: Post Office: School District.• <br /> / <br /> Lot Area: Sq.ft. � � Aci�es � �� tiVidth Depth <br /> Sauvev Saibrnitted: Yes� No Date of Sair•vey: '' (J1,0 <br /> Pr•oposed Setbac : , ��� � ��` �'r� � C y�`,����� <br /> Front(Lake): ��V 1 Side:C� �� � � <br /> S /l , �U r ��5� <br /> Rear Street)• 3 �• � L�Side: �V <br /> Adjacent Strircti�res: Wetland: � /'� <br /> / /�/�� � � <br /> l3trilding Height: Def Hgt. i Peczk flgt. "! V <br /> Lot Covernge: ��'D V L'�/ <br /> Gradrng: Staff'App��ova(Date: By: Cozrncil.4pproval Uate: � 2 � ��/U(p <br /> • Septic: StaffApproval Date: �� —���"C��'""� <br /> 7vnirrg File: # � � Resolution: � Resolution Date: � Z���/v� <br /> S1�or•elar�d District: ��� � NI Gi�D Permit: <br /> �1vg. Setback. t 7 ��Gj�(,�',(Gl^�lzrffSetbac%: N� LotCoverage: � -�, p <br /> Existing Pr•o,pos,e� � <br /> Hardcover: 0-7.i' l��-/ = Lv• /�1 n <br /> 7S-?50' � _ �7,l `7e <br /> 250-.i 00' <br /> soo-�oon� <br /> Hai•cicovei� [�"ariance Rey�tri�•ed: Yes� rV�o Date of Coarncil f9ppi�ova/: ��� � � ��� <br /> REMARKS(i�r house): <br /> 33 <br /> ...___ .. ._ . ._._ �-��.� <br /> ,� <br />