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' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: % �7 �� PID: /7-�/ 7- �3 y.3 U/3� <br /> DESCRIPTION OF WORK: /�(��v� G,2a� �� <br /> ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: � � �Q�._ DATE APPROVED: � ';3� -S Z <br /> �� <br /> BIIILDING REVIEW BY: DATE APPROVED: G 'j � � 2-- <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 /> ZONING CHECR LIST Z oning Di stri ct: L. !Z-l L <br /> Fire Department: /{2�✓n� Post Office: w��� School District: �►/�C <br /> Lot Area: /i/�L Width: N�� Depth: ^//c <br /> Survey Submitted: Yes� No Date of Survey: �- Z6-�� <br /> Proposed Setbacks: <br /> Front (Lake) : 2ti� �-t Right Side: /S� <br /> Rear (Street) : / �10� � Lef t Side: Zv' <br /> Adjacent Structures : �D � Wetland: /Uf/-1 <br /> Bui�ding Height: Def . Hgt. �/�/a Peak Hgt. <br /> Avg. Setback: /✓lj�J Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> soo—l000 � � 3 . (� i 5.5 <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval� ate: By: o ncil Approval Date: <br /> Septic: Staff Approva ate: By: <br /> Zoning File: # Re olution � : ,`� Resolution Date: <br /> , --T <br /> f / <br /> REMARKS (in house� � + <br />