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CHECK OFF �IST��OR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�!SS .SI�O�I.�L�N E D�Z PID: <br /> DESCRIPTI ON OF WORR: �]'���� �I b� <br /> -------------------- --------------------------------- �, 1 <br /> --------- ------------- <br /> ZONING REVIEW BY: ��,Qo (�it�-- DATE APPROVED: S- I-cl <br /> BIIILDING REVIEW BY: DATE APPROVED: <br /> ----------------------------------------------------------------------------- <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 CHSCR LIST Zoning District: ��� <br /> Fire Department: /�/ L Post Office: C. School District: /U �.. <br /> Lot Area: /v(� Width: /'� L Depth: ��L- <br /> Survey Submitted: Yes No ' Date of Survey: / ' � `�Z <br /> Proposed Setbacks : -- �v; pF �2.� 1�y� c�T cru <br /> Front (Lake) : �ght Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structur s : Wetlan : <br /> Building Height: Def. Hgt. Pea Hgt. <br /> Avg. Setback: Lot Cover ge: <br /> xi ting Propos d <br /> Hardcover: 0-75 ' ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-100 ' <br /> Hardcover Var ance Required• es No Date f Council Approval: <br /> Grading: St ff Approval Dat : By: Council A proval Date: <br /> Septic: St ff Approval Date: By: <br /> / <br /> Zoning Fi� e: # Resolution Resoluti n Date: <br /> REMARRS (in house) : <br />