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� � ''� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR I.EGAL: PID:��3 - /I�'o'�3 � 02 ���, <br /> DESCRIPTION OF WORR: G� ���. <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: ��e,� _y►.�� _ DATE APPROVED: S-6 •c1I <br /> BIIII,DING REVIEW BY: /�J I I'� DATE APPROVED: <br /> ------------------------------------------------------------------------------ <br /> FEES TO BE CHARGBD: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes No ✓' SEWER CONNECTION <br /> STATE SURCHARGE Yes �'! No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARR FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ----------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Offic�: � Schoo1�D istrict: <br /> � --? � <br /> � Lot Area: Width: i' Depth: ! f <br /> Survey Submitted: Y s� No Date of Suxfbey: �/ ' <br /> �' <br /> Proposed Setbacks:,� '� � <br /> Front (Lake),� `/ Right Si�e: ' _ <br /> Rear (Stre�t) : ;; %/ Left S�:de: ' <br /> , <br /> � <br /> Adjacent Structures : � �"� Wetland: <br /> � � <br /> Building Hei,z�ht: Def. ; Hgt.% Peak Hgt. <br /> N , _-- <br /> Avg. Setba,ck: % �� Lot���ierage: � <br /> Ex�.st ng ��Proposed <br /> l' � _ <br /> Hardcover: 0-75 ' ' ;'t , ' <br /> / <br /> ;: , �." <br /> �" <br /> 75-250 ' � ,' <br /> / %' � <br /> � 250-500 ' �'� '� <br /> � � <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: S"6 -G � BY�.�F�"_ouncil Approval Date: <br /> Septic: Staff Approval Date: BY: <br /> Zoning File:# Resolution #: Resolution Date: <br /> RBMARRS (in honse) : - <br />