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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ? ��� 1�N�'�s�'�" I� <br /> PID: <br /> DESCRIPTION OF WORK: (7.c�a f-A/�/� �� ��A-�•C. <br /> ------_------------------------------------------------------_ <br /> ZONING REVIEW BY.• N� DATEAPPROVED: <br /> BUILDINGREVIEWBY: DATEAPPROVED: 7- 23-0� <br /> FEES TO BE CHARGED: Misc. Fees Calca�lated 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 FEE <br /> SAC Yes No� SITEINSPECTION <br /> Nurr�ber of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning Dislrict, �l�'o L���� <br /> Fire Departr»ent: Post Office: School District: <br /> Lot Arec�: Sq.,�t. Acres 6G'idth Depth <br /> Sarrvey Submitted: Yes 'No Date of Sarsvey: <br /> Proposed Set6acks: � <br /> Front(Lake): Right S e: <br /> Rear(Street): Lefl Si e: <br /> Adjacent Str•uctarres: Wetland: <br /> 13uilding Height: Def. Hgt. Penk Hgt. <br /> Lol Cove►•age: <br /> Grading: Staff Approval Date: By: Cozrncil Approval Dale: <br /> Septic: Stnf'fApp�•oval Date: By: <br /> Zoning File; # Resolzdion: Resola�lion Da[e: <br /> Shorelnnd District: 1�lCGG'D Perrnit: <br /> Arg.Setback: Bluff Se ack: Lot Coverage: <br /> �risting Proposed <br /> Ha�•dcover•: Q-i.i' <br /> 7J-?�0' <br /> aso-son� <br /> soo-iono� <br /> Kardcover ['nriance Reguired.� }'es No D�tte orCozrncil.4pprovn(: <br /> RE�YIARKS(in l:ouse): <br /> 33� <br />