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. � • ' ' _ . <br /> CHECR OFF LIST FOR ISSIIANCE OF P$RMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 3ZS �S('�fl R.E�-i N�- PID: <br /> DESCRIPTION OF WORK: �W(O�E L - '^'T�-�-��� ���-�t <br /> -------------------------------------------- - <br /> ------•------------------------ <br /> ZONING REVIEW BY: /U�/4 DATE APPROVED <br /> BIIILDING REVIEW BY: .r-- DATE APPROVED: 6- S-`V� <br /> FEES TO BE CHARGED: Misc. Fees Calculated 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 Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: � Width: epth: <br /> Survey Submitted: Y s No Date;�'of Surv�y: <br /> Proposed Setbacks : ' � <br /> Front (Lake ) : Rig t Side: �� � <br /> � i � <br /> Rear (Street) : Lef�t Side:, <br /> , � <br /> Adjacent Structures : ,' Wetland: <br /> Building Height: Def. Hgt. ; Peak Hjt. � <br /> ; <br /> Avg. Setback: Lot Coverage;: ' <br /> Existing ' Proposed ; ' <br /> r � <br /> Hardcover: 0-�5 ' � � � <br /> : �, <br /> ,� � � <br /> �-�.. __., - 3 <br /> 75-�150 ' y, , _*-_ <br /> / '\/ � <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes ' No Date of Council'. Approval: <br /> J <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: ' By: <br /> Zoning File: # Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />