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� CHECS OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> DRESS OR LEGAL: �t q o 5 u ss eX � <br /> CRIPTION OF WORS: t��sclNtt_�- r'crv t 5 N <br /> NING REVIEW BY: N li4 DATE APPROVED: <br /> � B DING REVIEW BY: DATE APPROVED; lb-3�0-q1 <br /> ES TO BE CHARGED: Misc. Fees Calculafed By: <br /> P RMIT Yes ✓ No <br /> P AN REVIEW Yes � No SEWER COrfNEC[TON <br /> S ATE SUR^HA�tCrE Yes �/ No WATERCONNECTTON <br /> TIGATION-FEE Yes No PARK FEE <br /> S C Yes � No STfEINSPECTION <br /> Number of SAC Units OTF�R (specify) <br /> Z NIlVG CHECK LIST Zoaing District: <br /> F' e Department: Post Ofhce: School District: <br /> Area: Sq.ft. Acres Width Depth <br /> Su ey Submitted: Yes No Date of Survey: <br /> Pr posed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> ��� Adjacent Structures: Wetland: <br /> � B ding Height: Def. Hgt. Peak Hgt. <br /> I.� Coverage: <br /> G ding: Staff Approval Date: By: Council Approval Date: <br /> Se tic: Staff Approval Date: By: � <br /> Zo ' g File: # Resoludon:# Resolution Date: � <br /> Sh reland Dis�ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Existing Proposed <br /> Hardcover: 0.75' <br /> 75-?SO' . . � <br /> 250-500' � • <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> M[ARKS('in house): �c�A�n�►s 11,e.� r��Ll�o�N A L ���� Pc,4rr S <br /> 26 <br />