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CHECR OFF LI�T �R IGSDA2dCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL: :�( � '��-��'�1�-.r�i ����� PID: /�'7 ' /� � ' � ��� �� �' i� (� <br /> DESCRIPZ'�;ON OF WORR: .�<L-7� ,�LC�h�1<�Ci�-�^--� <br /> ! t.._---------!�------------�--r--- -------------------------------------------------- <br />_ ', ''�ZONING RE�IEW BY: DATE APPROVED: (U- ��-S:� <br /> �` 1 c; - r�;-�, ? <br />>: ' BUILDING 12EVIEW BY: I �` � �,.. DATB APPROVED: ( <br />� ------------------------ ----------------------------------------------------- <br /> FEES TO BS_ CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes L � 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 v�" SITE INSPECTION <br />� "". Number of SAC- Units OTHER (specify) <br /> ' ------------------------------------------------------------------------------- <br />.. , ZONING CHECR LIST Zoning District: ;;.�'- ►- �� <br /> � ; � _ , .,f <br /> ���:: Fir� Departme��:_ Post Offic,�. Schofallflistrict: <br /> � ,� c_-; �r� �'" <br /> a J � / //, <br /> ` 1 / � �' D@ th:�.� <br />`"� •� LQt �Area: t U � �#lidth� � g <br /> •�' '---�4 i <br /> ��Survey Submitted: Yes� No Date of Survey: <br /> � <br /> ����; �''_eiN r.v C rt; L.0 <br /> Proposed Setbacks: � , � <br /> Front (Lake) : "�:S� '� Right Side: `�•,3 � j <br /> Rear (�-�reet) : -- -� Lef t Side: S�' ��`_-� <br /> Adjacent Structures : `� S � '� Wetland: /�/ ��� <br /> Bui�ding Height: Def . Hgt. '� •S Peak Hgt. j`� � <br /> Avg. Setback- ,ti �r Lot Coverage: � <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' �`7,b�� <br /> 500-1000 ' ' <br /> Hardcover Variance Required : Yes ��' No Date of Council Approval : �o� ��� Y � <br /> Grading: Staff Approva7� Date: /;,: f` By: Council Approva� Date: <br /> Septic: Staff Approval Date: /"✓ '1` By: <br /> - <br /> Zoning Fi�e: # /S� ? Resol.ution # : Resolution Date: '��� r�' 3 <br /> REMARRS (in house) : <br />