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+ CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY j <br /> AI�DRESS OR LEGAL: Z`7 ZS SI`4�1��(J�W �jO� K-PJ PID= <br /> DESCRIPTION OF WORR: ►�1O(J i 'i1 O�V �''�tvtb10-2-� <br /> ------------------- ----- ----------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: k'- 3l' g 3 <br /> BOILDING R,.��'VIEW BY: CJ�G�Lrc•�- DATE APPROVED: F ' .3 t' g 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 v'� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: L,e-/B <br /> Fire Department: ��. Post Office: �u�.,��,� Schoo� District: w���'� <br /> Lot Area: �7 `1��5 � Width: (23•Lo� -� Depth: �7S �'� <br /> Survey Submitted: Yes X No Date of Survey: '7-Zr -S 3 <br /> Proposed Setbacks: , <br /> I �t (Lake) : 1$U �� Right Side: �S � <br /> � <br /> L ft Side: � C,v <br /> B.ea�. (street) : /V//} e <br /> Adjacent Structures: ��T�G�� Wetland: �rp <br /> Bui7.ding Height: Def. Hgt. Q .{�. Peak Hgt. <br /> Avg. Setback: (7 . �C Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' (a .ajS b• �S <br /> 75-250 � Z 3 •�3 z Y.6� <br /> 250-500 ' �7• 2 2" 1 ?• 2 2 <br /> 500-1000 ' � /��A" <br /> Hardcover Varia ce Required : Yes No� Da�e of Council ApprovaJ�: <br /> Grading: Staff proval Date: By: Council Approval Date: <br /> Septic: Staff A p oval Date: By: <br /> Zoning Fi�e: # Res lut' on #: Resolution Date: <br /> REMARRS (in hou e) : <br />