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CHECK OFF LIST FOR ISSUANCE OF P q <br /> FOR OFFICE USE ONLY <br /> ,9 � 4 <br /> A i] J <br /> ADDRESS OR LEGAL: x-775 1060 20A6 PID: <br /> DESCRIPTION OF WORK: I�dJ�Tlo� <br /> --------------------------------------- <br /> ZONING REVIEW BY: w- DATE APPROVED:- q-Z6 -Ot) <br /> BUILDING REVIEW BY: „-- DATE APPROVED: -Z-r, -C1 I <br /> ------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v-' No <br /> PLAN REVIEW Yes t/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No c✓ PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L. - IC <br /> Fire Department: rnoon►A Post Office: to/A4z,4-,W School District: <br /> Lot Area: gT-7yH Z 4c2C- Width: 165 -q I Depth: 5 3 b .S A vC <br /> Survey Submitted: Yeses No Date of Survey:__SeTDf Z� g2- <br /> Proposed Setbacks : <br /> Front (Lake) : (/? t Right Side: ff <br /> Rear (Street) : CD-7 f Left Side: 31 ,V, / / <br /> Adjacent Structures : Al/A Wetland: / ( 4 <br /> Building Height: Def. Hgt. Z� � Peak Hgt. Z� <br /> Avg. Setback: �/�// Lot Coverage:_ yr/� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 7 <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Req fired: Yes No Date f Coun it Approval: <br /> Grading: Staff Approv 1 Date: B Council Approval Date: <br /> Septic: Staff Appro al Date: By: <br /> Zoning File:# Res 1 ion #: Resolu ion Date: <br /> REMARKS (in house <br />