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' ~ CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FQR OFFICE USE ONLY <br /> ADDRESS OR LEGAL DESCRIPTION: 21�1� Sll.-v�-���EW U�' -- <br /> PID: <br /> DESCRIPTION OF WORR: Fi N�Sr-f ��AsGt/I�c.r�� <br /> --------------------------/ ------------------ <br /> ZONING REVIEW BY: /I//I� DATE APPROVED: <br /> BOII,DING REVIEW BY: „c�.�-._ .DATE APPROVED: I-1'� - G ?� <br /> pERMIT ISSIIED BY: DATE: <br /> ----------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No SEWER UNIT $ <br /> � <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECTION <br /> PENALTY Yes No ✓ PARK FEE <br /> SAC Yes No '� SITE INSPECTION <br /> OTHER (specify) <br /> ----------------------------- • <br /> ZONING CHECR LIST Zoni�g District: . <br /> Fire Department: Post Offi;�e:� Sch� 1 District. <br /> � ' <br /> � <br /> i <br /> Lot Area: � Width: a� � DeptM: 1 <br /> � <br /> Survey Submitted: Ye No �ate of Survey: <br /> Proposed Setbacks : <br /> t � <br /> Front (Lake) : % Right Side: <br /> � i <br /> Rear (Street) : Left Side: <br /> Adjacent Structures: � Wetland: <br /> Exi st�ng Props1sed <br /> Hardcove�: 0-75' , i <br /> 75-250 ' <br /> Hardcover Variance Re�uired: Yes No Date of, Council Approval: <br /> , <br /> Grading: Staff Appro�al Date: ' By: Cquncil Approval Date: <br /> i <br /> Septic: Staff App�val Dates By= � . <br /> Zoning File: # Resolution #: Resolution Date: . <br /> RBMARKS (in house) : <br />