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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��%� �O�r� �t L�� 4L PID <br /> DESCRIPTION OF WORK: t+10177-V IV-f -,,4 <br /> --------------------- --- --- ------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: d.1 DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ZNo <br /> PLAN REVIEW Yes ✓/No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓esNo WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> j - <br /> ZONING CHECK LIST Zoning District <br /> Fire Department: (,,oitr� ( K'Post Office: 66LV4 LAX6 School District: NIC <br /> Lot Area: 3.S Actc5 Width: yao -t' Depth: 35 0 ' <br /> Survey Submitted: Yeses- No Date of Survey: Cl-,e6 AEV/SEFa <br /> Proposed Setbacks: A b G /I Q c A- KiTC.HeN 4401 7701! <br /> Fi-Dirt (Lake) : 16 �o 0a j- Right Side:GS' �/a 5'-+- [6-Z� s7ony Agove '6�0 <br /> Gz,.d srnQ 1P,0-o <br /> Razmr (Street) : N!I N114 o't Left Side: NIA ZS A64 6,gAA; <br /> Adjacent Structures: Ar Wetland: /✓ i9 <br /> Building Height: Def. Hgt. <br /> (v Peak Hgt. �y <br /> Avg. Setback: O.l� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' i 1•Z d10 <br /> 75-250 ' 16 <br /> 250-500 ' 2-3"20 <br /> 500-1000 ' ,# <br /> Hardcover Variance Required: Yes P( No Date of Council Approval: LI -26 - 192 <br /> Grading: Staff Approval Date: Ailh By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# /76S Resolution # : I ��� Resolution Date: 10.2,6 � <br /> REMARKS (in house) : <br />