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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' � FOR OFFICE USE ONLY <br /> Annx�ss OR LEGAL: '�� �� . n���.�_ , ,�:� Pzn: / 7 _ i��l — ,�3 � � �,,:, `I <br /> DESCRIPTION OF WORR: ���z-t���-E-���-�-� ,��;,��'�,'<<:�-�. <br /> ----------------------- ------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVSD: <br /> BIIILDING REVIEW BY: DATE APPROVED: � � Z� "� 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓.No <br /> PLAN REVIEW Yes�r No SEWER CONNECTION <br /> STATE SURCHARGE Yes J No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �^ SITE INSPECTION <br /> Number of SAC Units OTHER (specif y) <br /> ---------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning Distri t: <br /> Fire Department: Post Office: SchooJ. Distri <br /> Lot Area: Width: D pth: <br /> Survey Submitted: Ye No Date �bf Survey: <br /> Proposed Setbacks: <br /> Front (Lake) Ri t Side: <br /> Rear (Stree ) : L ft Side: <br /> � <br /> Adjacent S ructur s: / We land: r`/ <br /> Building Height�: Def. Hgt._7'� _ / Peak Hgt. <br /> � � <br /> Avg. Setback: ;� Lot verage: <br /> Ex sting `! Pr posed <br /> f J �% / <br /> Hardcover: 0�75 ' �` <br /> f r % <br /> 75J250 ' <br /> ,• <br /> 25 -500 ' ;� <br /> 500 1000 ' �� <br /> Hardcover 'Variance Req i ed: Yes % No Da e of Council App oval: <br /> 1 <br /> Grading: taff Approva ate: f� By: Council Approv 1 Date: <br /> Septi c: taf f Approva]. ate: /r __ BY= � <br /> � <br /> Zoning File:# Reso�ution # : Resolution Date: <br /> REMARKS (in house) : <br />