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c''i-.C�P��A ��/I <br /> , CHECR OFF Z,IST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � <br /> --- <br /> r� � � ' -�� , <br /> ADDRESS OR LEGAL: � �`7 .�} - ��� '� � `� PID: <��,-i 1 S " �?� =�j r�. (;�_�G� � <br /> �ESCRIPTION OF WOR.R: ldOn % 'G� �`� <br /> ------------------- - --------------------------------- -- ----------------- <br /> ZONING REVIEW BY: DATE APPROVED: � /Q <br /> BIIII,DING REVIEW BY: �`� , ��t.�, DATE APPROVED: Z " ��► �5 l <br /> FEES TO BE CHARG$D: Misc. Fees Calculated By: <br /> PERMIT Yes a( 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� SITE INSPECTION <br /> Vumber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------• <br /> ZONING CHECR LIST Zoning District: L. �--f A- <br /> :ire Department: Post Office: School District: <br /> �ot Area: Width: Depth: <br /> 3urvey Submitted: Yes�C No Date of Survey: <br /> �roposed Setbacks : �/ —� <br /> Front (Lake) : r� Right Side: <br /> Rear (Street) : ��- Left Side: <br /> Adjacent Structures : /Uf�- Wetland: �� <br /> I / <br /> uilding Height: Def. Hgt. l(' Peak Hgt. /Q <br /> vg. Setback: Lot Coverage: ��" <br /> Existing Proposed <br /> iardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-I000 ' n <br /> 3rdcover Variance Required: Yes � No� Date of Council Approval: <br /> r <br /> �ading: Staff Approval Date: By: Council Approval Date: � <br /> �ptic: Staff Approval Date: By: � <br /> � <br /> :�ning File:� Resolution #: Resolution Date: <br /> . � f <br /> ;'.EMARRS (in house) : � <br /> � <br /> � <br /> � <br />