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- CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ' ,�titC' r.J .(fN PID: .�� - //�- ,:�3 �j�,:2 D C'/,.2 <br /> Aa�DRESS OR LEGAL: �I�j �.5� �� �-�� <br /> � <br /> DESCRIPTION OF WORR: w�C�Z �-�--�� �j--E' �'� <br /> � ---- ------- <br /> ----------------------j� ------ ------------- -- <br /> ZONING REVIEW BY• d" DATE APPROVF�D: -] �S-`YS <br /> BIIILDING REVIEW BY: ' DATE APPROVED: � -S^` �S <br /> ------------------------ -------- <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 v PARK FEE <br /> SAC Yes No l/ SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ------------------------------------------ <br /> -------------- <br /> ZONING CHECR LIST Zoning District: (�(L-�� <br /> Fire Department:_ Post ff � c : �hool District: <br /> , ��-. <br /> � <br /> ; <br /> Lot Area: Widt �h= <br /> Survey Submitted: Yes� No Date of Survey: 0 N �i t� <br /> Proposed Setbacks : � <br /> Front (Lake) : Z3C� Right Side: 3�� <br /> f <br /> Rear (Street) : S' Lef t Side: 3�� � <br /> Adjacent Structures : (SS Wetland : iv �i4 <br /> Building Height: Def . Hgt. o_k'- Peak Hgt. — <br /> Avg. Setback: L Coverage <br /> Existing , Proposed % <br /> Hardcover: 0-75 ' � <br /> 75-250 ' <br /> �' <br /> 250-500 ' <br /> 500-1000 ' \' — <br /> � <br /> Hardcover Varian e Require : Y�s o I�ate of Counc' 1 Approval: <br /> Grading: Staff A proval. Dat : By: ;'�_ Council A proval. Date: <br /> Septi c: S taf f Ap roval. Date: $�Y= <br /> Zoning File• # Reso ution # : ` Resol.ution Date: <br /> ; <br /> REMARRS (in house : <br />