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. -, ' CHECR OFF LIST FOR ISSDANCE OF PERI�IITS <br /> '' FOR OFFICE USE ONLY <br /> ADD �S R LEGAL: .�0 0 ,sv SSeX �'ID= <br /> DES �P ON OF WORR: E W R=�5 <br /> --- �- -------- ----------------------------------------------------- <br /> ZONI t� IEW BY: - ---- - DATl3 APPROVSD: S�Z��� <br /> BIII �N REVIEW BY: � u,� DATE APPROVED: �'Z6 _c7-t____ <br /> --- -�- ------------- ------------------------------------------------------ <br /> FE$S �'O $ CHARGED: Misc. Fees Calculated By: <br /> pERNI � Yes ✓ No <br /> PLAN �t EW Yes ✓� No SEWER CONNECTION <br /> STAT iS CHARGE Yes�� No�,/ WATER CONNECTION <br /> INVE �I TION FEE Yes No ✓ PARK FEE <br /> SAC Yes No�� SITE INSPECTION <br /> Numb r SAC Units OTHER (specify) <br /> ---- }- -------------------------------g---------�--n--_---------------------- <br /> ZONI G ECR LIST Zonin District 1`2 1 � <br /> Fire �e rtment: ,s k,� Post Office: L�N� � Schoo� District:D�-w`�a <br /> Lot re z �g-� -F; Width: q-u-� Zo c� Depth: 3�O �u-Q <br /> Sur �i ubmitted: Yes� No Date of Survey: J�-�/- 5 z <br /> Pro �se Setbacks: <br /> �'r nt (Lake) : /SU �-� Right Side: y(�-� <br /> Re r (street) : � 3.3 Lef t side: �/Z- � <br /> �Ad acent structures: N�A wetland: /t/�A <br /> Bui dl�in Height: Def. Hgt. 2Y.S Peak Hgt. Z�i � <br /> Avg 8e back: /�Ul�+' Lot Coverage: /V/� <br /> Existing Proposed <br /> Har ao r: 0-75 ' <br /> 75-250 ' <br /> 250-500' <br /> ' 00-1000' <br /> Har c2o r Variance Re ired Yes No Date f Coun il Approval.: <br /> Gra i;n Staff Appro al Dat : y: Council Approval Date: <br /> Sep i�c Staff Appr val Dat : By: <br /> Zon r�g ile:# eso tion Reso ution Date: <br /> I (in hou e) : <br /> � <br /> r <br /> ', � <br /> I <br />