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! <br /> ` • � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL: 2�i S� 51-�74-�/J y c.�o o t,o PID: �� '��l � 3 � � - cac,i 7 <br /> DESCRIPTION OF WORR: �2'��i N � <br /> --------------------- --- ---------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: //' `�'"S Z-- <br /> BIIILDING REVIEW BY: /"//¢ DATE APPROVED: <br /> ------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> ,.--- GR�4n rntS PerL��T� <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes Na� SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning Di�trict: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: e No Dat of S rvey: <br /> Proposed Setbacks: <br /> Front (Lake) : ' ght S' e: <br /> Rear (Stree Left S' e: <br /> Adjacent S uctur s: Wetlan : <br /> Building Heigh : Def. gt. Pe Hgt. <br /> Avg. Setback: Lot Cov age: <br /> Ex' sting Prop ed <br /> Hardcover: -75 ' <br /> 7 -250 ' <br /> 2 0-500 ' <br /> 5 0-1000 ' <br /> Hardcov r Variance R qu red: Y s No Date of Council Approval: <br /> Gradin : Staff Appro a Date: B : Council Approval Date: <br /> Septi : Staff Appro a Date: BY= <br /> Zoning Fi].e:# Reso ution #: Resolution Date: <br /> REMARRS (in house) : <br />