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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFN'ICE USE ONLY <br /> ADDRES S OR LEGAL: d" ��-�I r�r�,ti'-�'�-�� ��-� PID: G��_ /�� � �3 �y C>G'1'.-,2 <br /> DSSCRIPTION OF WORR: (rIVTYl�t�l (ZAot= <br /> -------------------- --- C��` --------------------------------------------- <br /> ZONING REVIEW BY:_�` DATE APPROVED: �o- ��-f-�lS <br /> BIIIZDING REVIEW BY� DATE APPROVED: fo- /`f -�IS . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 1/" No <br /> PLAN REVIEW Yes c�^ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes Not/� PARK FEE <br /> SAC Yes Not/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------- <br /> ZONING CHECR LIST Zoni , is ri <br /> � <br /> ; <br /> Fire Department: o t Off ' e: i tr' ct� � <br /> Lot Area: Width: D pth. <br /> Survey Submitted: Yes �� No Date of Survey: o�v f=i c,t�, <br /> Proposed Setbacks: + <br /> F�� (Lake) : �1 t �' Right Side: /U�r4 <br /> � {Street) • ���"" Left Side: d . �� <br /> Adjacent Structures : /4�1fi�� Wetland: �✓�� <br /> Buil.ding Height: Def . Hgt. ('� .�( Peak Hgt. C`S � <br /> Avg. Setback: /v�� Lot Coverage: �v�i'� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' �� ���� <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No r- Date of CounciJ. Approval : <br /> Grading: Staff Approval ate: B : C uncil� Approval Date : <br /> Septic: Staff Approval te: B <br /> Zoning Fi�e: # Res lution # • Resol.ution Date: <br /> REMARKS (in house) : <br />