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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 12 T`dIVK14W Q.9 PID: <br /> DESCRIPTION OF WORK: 2iuO4 §]22LI "0 i T7 0^/ <br /> ------------------- - Lam- ------ -� <br /> ----------------- --- --------------------- <br /> - <br /> ZONING REVIEW BY: DATE APPROVED: 3`5 3 <br /> BUILDING REVIEW BY: ICX --- DATE APPROVED: (p - 3-`1-3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated B -� <br /> y: <br /> PERMIT Yes +,� No <br /> PLAN REVIEW Yeses No SEWER CONNECTION <br /> STATE SURCHARGE Yeses No WATER CONNECTION <br /> INVESTIGATION FEE Yes Nom PARK FEE <br /> SAC Yes Noy SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: &A-16 <br /> Fire Department: („vim LAA" Post Office: School District: ca�rwv� <br /> Lot Area: Z5 qac 3 Width: f,M I ± - Depth: 2S-0 ,-! <br /> Survey Submitted: Yes o(, No Date of Survey: to- S--s Z <br /> Proposed Setbacks: / -)5- <br /> Front (Lake) : 5 t- Right Side:KV <br /> Rear (Street) Lef t Side: 10 <br /> Adjacent Structures: /5 -�- Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' (• <br /> 75-250 ' Z8°7o <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes p< No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARKS (in house) : X /5 TtAtc, 4aAWA'-n 81V -50✓wc.� — X62 94tjcp Ur4/v6 <br />