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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> • � � FOR OFFICE USE ONLY <br /> ADDRESS OR LE�AL: � D'S � ��'�f'�'< <�v� PID: <br /> D��CRIPTION OF WORR: ��"GZ� /�e��'�`�� - <br /> ------------------ -------------------- <br /> --------------------�+----�----- - <br /> ZONING REVIEW BY� CT � � � DATE APPROVED: / 'c3/- �j� - <br /> BIIILDING REVIEW BY. � DAT$ APPROVED: / - 3� `�/ � <br /> ------------------- <br /> FEBS 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 c� SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> -------------------------------------------- <br /> ZONING CHECR LIST Zoning District: f�R-la <br /> Fire Department: LC. Post Office: L� Schoo� District: o2.mn�a <br /> Lot Area: Z qc�.a_s -f- Width: �r�o' Depth: �`�-�� <br /> Survey Submitted : Yes�_ No Date of Survey: IZ.- S-9s <br /> Proposed Setbacks : <br /> Front (Lake) : 1`ib.`�� Right Side: t33•3' <br /> � <br /> Rear ( Street) : 153' � Lef t Side : 52� <br /> Adjacent Structures : �//A Wetland: f0� � <br /> Buil.ding Height: Def . xgt. 2�1•S Peak Hgt. 3`�•S <br /> Avg. Setback : N Lo Cove e: <br /> Exis in Propo d <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Vari ce Require Ye No Date f Council Approval : <br /> Grading: Staf f Approval. Date: (-Z'-1 -qS BY: •�0 ' CounciJ� Approva� Date : <br /> Septic: Staff Approval. Date: I - 2�l -�i5 By: S.w . <br /> Zoning File: # — Resolution # : � Resolution Date: <br /> REMARKS (in house) : - <br />