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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR nFFIC� USE ONLY <br /> ADDRESS OR LEGAL: zot(� ���oA2wooc9 102i� PID: <br /> D$SCRIPTION OF WORR: /a c�es5o�'t 5 � (����-' � P�o< <'G`'� `p�"`* aC��' <br /> -------------------- ---- ------------------- <br /> ZONING REVIEW BY: _ DATE APPROVED: �• �Z"�5 <br /> BIIII,DING REVIEW BY: � � DATE APPROVED: S • �2- 5.5 <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 �-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 CHECR LIST Zoning District: /2.-/✓� <br /> Fire Department• �- Post Office: C_ School District: Q <br /> Lot Area: No �i�J�v�.F Width: — Depth: — <br /> Survey Submitted: Yes � No Date of Survey: o N i-i c..� - <br /> Proposed Setbacks: , + <br /> Front (Lake) : N �/9 Right Side: Sfl <br /> Rear (Street) : �Oo` -E- Left Side: SZ�� "} <br /> Adjacent Structures : 2� ` "1- Wetland: /(/�/� <br /> Bui J�ding Height: Def . Hgt. c� •(� Peak Hgt. <br /> Avg. Setback: Lot Coverag <br /> E isting Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Vari ce Requ' red: Yes No Date of Co nci]. Approval: <br /> Grading: Staf Approval Da By: Counci Approva� Date: <br /> Septic: Staff Approval a BY= <br /> Zoning FiJ.e: esolut on # : ResoJ�ut on Date: <br /> REMARRS (in house) : <br />