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^ CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> ` FOR Ca?FZC�.. USE ONLY <br /> ADDRBSS OR LEGAL: I�Sq� �I��� WO�'� ��'OjA'� PID: <br /> D$SCRIPTION OF WORR: 'cJ e. L <br /> ------------------ . <br /> --------------------^ <br /> ZONING REVIEW BY- �'� DA�E APPROVED• 3-2£S-5 5 . <br /> . <br /> BIIIT..DING RL�TIEW BY t lX�-- DATE APPROVED: 3 -Z8'- S6 <br /> ---------------------- <br /> FEES TO BE CHARGED- Misc. Fees Cal.culated 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 (� SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> -------------------- <br /> -- <br /> ZONING CHECK LIST Zoning District: L R- �C� <br /> Fire Department: N �C� <br /> Post Office• �-- School District: — __ <br /> Lot Area: 3��Z33 s�, t-r •���idth: /J�� Depth: Z.�� � l�� <br /> Survey Submitted• Yes pC No Date of Survey: `%�S '7 3 <br /> Proposed Setbacks : <br /> F�-a�rt (Lake ) : 1 ( � Ri ght Side: ZS�._t- <br /> � ( street) : N�A� Lef t side : �S' � <br /> Adjacent Structures : Wetland: /�/�9 <br /> Bui�ding Height: Def . Hgt. N�/�- Peak Hgt. n//�B — <br /> Avg. Setback : VA��►ar+vc� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' Z•�Z �.�Z <br /> 75-250 ' Z�. e� ZS•O� <br /> 250-500 ' ' <br /> 500-1000 ' -- <br /> Hardcover Variance Required: Yes_� No Date of Council Approval : 3-27-5'S <br /> Grading: Staff Approval Date: /l///� By: Council. Approval Date : <br /> Septic: Staff Approval. Date: /��� BY= <br /> Reso�ution # • Resolution Date: 3-�. <br /> > Syc/ <br /> Zoning Fil.e: # (�'� � � 1 <br /> I2EMARRS (in house) : <br />