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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Io 2.5- PID' <br /> DESCRIPTION OF WORK: <br /> ---------- --------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: ?-/J-C/ <br /> BUILDING REVIEW BY: r,�-_ _ DATE APPROVED: - <br /> -------------------- - <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes-C7�No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �"^ PARK FEE <br /> SAC Yes No—C-' SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ----- ---n--- ---------------- <br /> ZONING CHECK LIST Zoning Distr--i-ct----�. ` <br /> Fire Department: ¢1Ge Post Of f ice: ry (Aw School District: <br /> Lot Area Width: 1/1/1 LIC A.P- Depth: ""- <br /> Survey Submitted: YesX No Date of Survey: <br /> Proposed Setbacks: ' <br /> A <br /> Front (Lake) : W) f4 Right Side: Ip Y <br /> .&�ea-r (Street) : 73 f Left Side: 1.S .9" N <br /> Adjacent Structures: A �/`f' Wetland: /" �14 <br /> Building Height: Def . Hgt. 3C� r Peak Hgt. 3C� <br /> Avg. Setback: D .K Lot Coverage: OA l( <br /> Existing Proposed <br /> Hardcover: 0-75 ' �{ °?v S y -�,) 6" (-s' 77-r ti 5 <br /> 75-250 ' 2q- g(. <br /> 250-500 ' O <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes Nook Date of Council Approval : <br /> Grading: Staff Approval Date :-/( - -ILf By:OP-0' Council Approval Date: <br /> Septic: Staff Approval Date:— /U//} By: <br /> Zoning File: # Resolution # : Resolution Date: <br /> REMARKS (in house) : <br />