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. �- ` C�CX OFFFORSOF��CEIUSII ONCLEYOF Pffi�iITS <br /> ADDR$SS OB LEGAL: P�� <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY:----- ----------------DATE APPROVED: - 1 -- Q-- ------- <br /> BIIILDING RE4IEW BY: � G DATE APPROPED: J 3 <br /> ---------------------- <br /> FEES TO BE CHARG�: Misc. Fees Calculated By: <br /> pEgMIT Yes� No � <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SIIRCHARGE Yes X No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ZONING CSECR LIST -----------------Zoning District---L��/ �----------- <br /> Fire Department: �. Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> . Fn'��re %e�`�" -u�i'ti1�.� �vt Je.��P e c� P x is '� � ou.s�- <br /> Proposed Setbacks . � � <br /> Front (Lake} ; Riant Side : <br /> Rear (Stre�t) : Les� Side: <br /> Adjacent Structures : Wet?and: <br /> Building Height: Def. Hgt. Peak Iigt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff� Approval. Date: BY= <br /> Zoning File:� Resolution �: Resolution Date:_____ <br /> RBMARKS (in honse) : <br /> � <br />