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� • CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> , <br /> aDDRBSS OR LEGAL: r�'j Z� .S/30�E Lf I'V C PID:,1�'� - //7 ' � 3 `f� �., � (� <br /> r� <br /> D$SCRIPTION OF WORR: /V�GIJ� (�Z.C-S <br /> --------------------------------- <br /> ------------------- -- --------------------- . — <br /> ZONING REVIEW BY: � DATE APPROVED S- �Po �'1�( <br /> BDII,DING REVIEW BY: DATB APPROVED: S � - �1 y <br /> FEES TO BE CHARGED: Misc. Fees Ca�cuJ:ated 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 r/' PARK FEE /�� <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L/z-/�ii <br /> Fire Department:��-�yJ- Post Of f i ce: /���,4ti�_ School� Di stri ct: (�,/l�c� <br /> """ 'T <br /> Lot Area: Z,'� Ac�s Width: (/t.��uc�,a,2 Depth: /R/�'�"-�"2 <br /> Survey Submitted: Yes OC No Date of Survey: y• �1 - 9 Y <br /> Proposed Setbacks : � � <br /> �r� (Lake) : y 10 � � Right Side: � N <br /> �� �/60 ' , <br /> Rettr , ��t) : �' Le f t S i d e: �,O � <br />� Adjacent Structures : /�///,�- Wetland: /V�/4 <br /> Building Height: Def . Hgt. Zg � Peak Hgt. 36� <br /> Avg. Setback: (� . �� �e/L A�n�- �ot Coverage: /vj� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' (o• 7S �o <br /> 250-500 ' �y•�� <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council ApprovaJ�: <br /> Grading: Staff Approval Date: By: Counci7. Approva� Date: <br /> Septic: Staff Approval Date: y' �1" 9 y By: ,�.(/`�' <br /> Zoning File: # ¢ /�3(� ResoJ.ution # : 3'Z �� Reso�ution Date: 5-1b-� <br /> REMARRS (in house) : <br />