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.. _ ___ .. - - <br /> � � CHBCR OFF LIST FOR ISSIIANCE OF PBRMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR I.EGAL: f -1�^v 5 i-�;�Lt.::Z.-t r�( /)v� PID:�O - ' 1" r. -�, .•> �J`� �l�-,� i <br /> DESCRIPTI ON OF WORR: �-�'�-'�r� 1 u � �` <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: /Q - a 3 - �!O <br /> — �, <br /> �OILDIr1� REVIEW BY: ^ ��L��_ _, DATL APPROVED: (C 'Z�,, -�Z L. <br /> --------------------------------------------------------------------- <br /> FEES TO BE CHARGBD: Misc. Fees Calculated By: �� i'�' <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes� No SEWER CONNECTION �`- <br /> STATE SURCHARGE Yes� No WATER CONNECTION f <br /> INVESTIGATION FEE Yes No PARK FEE -� <br /> SAC Yes No�/ SITE INSPECTION -�"- <br /> Number of SAC Units OTHER (specify) �''� <br /> --------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L � - lf�- <br /> Fire Department: Post Office: School District: <br /> Lot Area: � Width: "-�-� Depth: -"-- <br /> Survey Submitted: Yes� No Date of Survey:��o��,� /9 l `1 �� <br /> Proposed Setbacks: ,�� �6� � <br /> Front (Lake) : f Right Side: ��%��� <br /> Rear ( Street ) : f� Left Side: a�C� / <br /> �— �__ <br /> Adjacent Structures : Wetland: <br /> Building Height: Def. Hgt. '-- Peak Hgt. �- <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' , � <br /> 75-250 ' � V � <br /> � � � <br /> 250-500 ' � <br /> � <br /> � <br /> - 000 ' � <br /> 500 1 <br /> Hardcover Variance Required: Yes No�Date of Council Approval: <br /> Grading: Staff Approval Date: By: -�� Council Approval Date: -" <br /> - �'� <br /> Sep i� St�Approval Date: /,�-2-�- �'C� BY�-'.�� <br /> Zoning Fi le:#_ �S Resolution #: 2 .�'�-'� / Resolution Date: /b - ���'�� <br /> REMARRS (in house) : <br /> , <br /> ` n/ �,,��_ �,u�-r-- i>�� 1 %'f��'_�L� �,�"'�.�_` ,���',�.- -�`" �_, , �.-,,�,�...� __ <br /> ---�KrW <br />