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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: LlY PID: U,J -/� 7-.3 /3 O b*,So <br /> DESCRIPTION OF WORK-: <br /> ZONING REVIEW BY: �T--- ---------------DATE APPROVED:------1-4 i-4 <br /> BY: ---------------- <br /> BUILDING REVIEW <br /> --------------------- -----------------------------------_---------------------' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By. <br /> PERMIT Yes f 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 CHECK LIST Zoning District: 4.4-14 <br /> Fire Department: Post Of f ice: low J#" School District: OAAjo <br /> Lot Area: Width: Z-o Depth: Z5-.2- <br /> Survey <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : ms's' Right Side: d' tlN <br /> Rear (Street) : 3 a Left Side: t CyS <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: ///A Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' r/f <br /> Hardcover Variance Required: Yes No- Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /�((/i� By: <br /> Zoning File:# q;- / Resolution : / Resolution Date: 6r-/3- N <br /> x,50 )s S�Pdj <br /> REMARKS (in house) : <br />