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CHECR OFP' LIST FOR ISSIIANCS OF PERMITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR ?�EGAL DESCRIPTION: �C/�� � f"f��I� ��'� <br /> PID: <br /> DESQtIPTIOH OF WORR: �'� � X/�a � S�� <br /> ------------------------ ------------------------------------------------------- <br /> ZONING REVIEW BY: I��� DATE APPROVBD: <br /> BOII.DING REVIEW BY: .DATS APPROVED: <br /> PERMIT ISSII� BY: DATE: <br /> FEES TO B$ CBARG�: Misc. Fees Calculated By: <br /> PERMIT Yes V No SEWER UNIT $ - <br /> PLAN REVIEW Yes ? No SEWER CONNECTION - <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION "" <br /> PENALTY Yes No PARK FEE - <br /> � <br /> SAC Yes No SITE INSPECTION <br /> OTHER (specify) ` <br /> -------------------------------------------------------------------------------- <br /> ZONING CHECIC LIST Zoning District: �/�: � � <br /> Fire Department: /'�I�OLt,N� Post Office: fN�� School District: /'�l0*�-N� <br /> � � ± <br /> Lot Area: �.7 7 �4-� + Width: ��p S � Depth: �C7 <br /> Survey Submitted: Yes� No Date of Survey: �r Z2� 8 � <br /> Proposed Setbacks: <br /> Front (Lake) ; Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures: Wetland: <br /> Existinq Proposed <br /> Hardcover: 0-75' <br /> 75-250 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Dates �"'� BY: � ' <br /> Zoning File:# Resolution #: Resolution Date: <br /> RBIrlARRS (in house) : <br />