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- • " CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> - ' FOR OFFICE USE ONLY <br /> � � , l�v� /V �- �,�v.J�; PID: c��"��� "� 3 3,:z. dG��p <br /> ATaDRESS OR LEGAL: �I`�� („{-C�) � <br /> D$SCRIPTION OF WORR:� y�-�iL�/) -�f'�'I C� � - <br /> -------------------------------------------- <br /> ZONING REVIEW BY: ��/9 DATE APPROVED: <br /> BIIII.UING REVIEW BY: c DAT$ APPROVED: b-!`? -`'/� <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� Na_��. pARKRFEENNECTION <br /> INVESTIGATION FEE Yes No / <br /> SAC Yes No� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------- <br /> ZONING CHECR LIST Zon�ng D strict: <br /> Fire Department: Post Office: Sch ol District: <br /> Lot Area: Width: Depth <br /> Survey Submitted: Ye No Dat of urvey: <br /> Proposed Setbacks. <br /> Front (Lake : Ri ht S de: <br /> Rear (Stre t) : L ft S de: <br /> Adjacent tructu es: Wetl nd: <br /> Building Heig t: Def Hgt. P ak Hgt. <br /> Avg. Setback Lot Cov rage: <br /> E isting Propo ed <br /> Hardcover: -75 ' <br /> 7 -250 ' <br /> 2 0-500 ' <br /> 5 0-1000 ' <br /> Hardcov r Variance Re uire : Ye N Date of Cou cil Approval: <br /> Grading Staff Approv 1 D te: By: Counci Approval. Date: <br /> Septic Staff Approva D te: BY= <br /> Zoning File:# Resol tion Reso ution Date: <br /> S (in house) : . <br /> F <br /> � <br />