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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �i^ ;I /� c i< L C� � _. PID: S <br /> i' <br /> DESCRIPTION OF WORK: ii i <br /> --------- <br /> ZONING REVIEW BY• DATE APPROVED: /0 -/Cr ' f ?- <br /> BUILDING REVIEW BY: DATE APPROVED: 10 -A,- y 2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes i,-'No WATER CONNECTION <br /> INVESTIGATION FEE Yes No= PARR FEE <br /> SAC Yes No !/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: Lk-la <br /> Fire Department: Mhyios-O Post Office: School District: <br /> Lot Area: 2-9, S-7-7 Width: 102- Depth: <br /> Survey Submitted: Yes DC No Date of Survey: (0--W-92- <br /> Proposed Setbacks: <br /> (Lake) : 235 -} Right Side: JO ' <br /> Rwwr (Street) : 1 O ' Left Side: (,o <br /> Adjacent Structures: /ZS ' Wetland: /Y A <br /> Building Height: Def. Hgt. /3 Peak Hgt. /9 <br /> Avg. Setback: /1/�Ia Lot Coverage: 0•K <br /> Existing Proposed <br /> Hardcover: 0-75 ' Z 2640 N/C. <br /> 75-250 ' 1 Sf.O8'47o <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes NoJC Date of Council Approval: <br /> Grading: Staff Approv Date: By: Council Approval Date: <br /> Septic: Staff Approv te: By <br /> Zoning File:# Resolu ion Resolution Date: <br /> R24ARKS (in house) — <br />