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- ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZOyO S�`����1 W d0►� t� pID= <br /> DESCRIPTION OF WORR: Zrv Q S'�'o� `��� 1-��^' -� �P�'S/�^� d� �a� ����"� <br /> ------------------------ ----------- ------------------�- (D-S---------------- <br /> ZONING REVIEW BY: DATE APPROVED: ' 3 <br /> BIIILDING REVIEW BY: DATS APPROVED: � `�� `! 3 <br /> FEES TO BE CHARGED: Misc. Fees Ca�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 /> -------------------------------g---------_-----_ <br /> ZONING CHECR LIST Zonin District /1 1C- <br /> Fire Department: 1'Y(,o�n.,rf� Post Office:�.,�� School District: �,-cs'r�nr�.✓► <br /> Lot Area: I(� (�2 ."� Width: G�• S �� A�e Depth: 2S 3• g5 �t A� <br /> Survey Submitted: Yes K No Date of Survey: �-�1 -4� <br /> Proposed Setbacks: <br /> pr�nt (Lake) : �5 � � Right Side: (0•► � <br /> �� (Street) : lYS"� ± Lef t Side: f( • �• S� <br /> Adjacent Structures: N�� Wetland: N/i9 <br /> Building Height: Def. Hgt. ZS � Peak Hgt. 3�� <br /> Avg. Setback: C���� � 5�T� ��� Lot Coverage: ��� <br /> --�Existing ' Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' !N F'v N�T P�J� `� <br /> � �x AN�I o^+ '�� <br /> 250-500 Nv P <br /> 500-1000 ' �Ur p2cNT P����� <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approv 1 Date: � By: Council Approval� Date: <br /> Septic: Staff Approva D te: Y <br /> Zoning File: # esolut'on Resolution Date: <br /> REMARRS (in house) : <br />