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� <br /> CHECR OFF LIST FOR ISSIIANCE OF PEFtMITS <br /> F OFFICy USE ONLY <br /> ADDRESS OR LEGAI.: • PID:3S�'//�'� �j ' d./ - Da<� 9 <br /> DESG'�IPT20N OF WORS: <br /> ----------------------- --------------------------------- - ----- <br /> ZONING RL�7IEW BY: DATE A.PPROVED: �(' l Q <br /> BIIILDING REVIEW BY: DATE APPROVED: _`�'Z_�t-'�t ! <br /> FEES TO BE CHARG�: Misc. r^ees Calculated Bv: <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 SITE INSPECTION <br /> Number of SAC Units �_ OTHER (specify) <br /> --------------------------------------------------------------------------- <br /> ZONING C3ECR LIST Zoning Dist�ict: <br /> Fire DeAart:�ent: [..�6 ��e Pos` Of�ice: LO LA.(C� School Dist:ic�: �{`oxp <br /> ` 3�,�O b [�' wiath: � � <br /> Lot Area: `� 7 Depth: �R(� <br /> —� <br /> Survey Submit�ed: �es� No Date oi Survev: �Glr 13 . 1�� <br /> P=oposed Setbacks : / <br /> :ront (Lake i : 8 � Zignt Side : 3�t <br /> � �� t <br /> Rear ( S t�e�t) : /�(� Le�` Side: <br /> Adjacent Struc�sres : Wet?and: <br /> Building Height: DeT. Figt. ��,(v r� Peak Hgt. � g ' <br /> � �/�} o� ' ) <br /> Avg. Setback: �3 Lot Coverage: "t'l /b p� �U i l�i��Ni <br /> Exist�ng Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No X� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval. Date: ' <br /> Septic: Staff Approval Date: BY: ; <br /> Zoning File: � Resolution n: Resolution Date: <br /> RSMARKS (in house) : ' � <br /> � � <br /> � <br /> � <br /> � <br />