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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> q FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �c yG W z Ke- ,p <br /> ; 'L(d I`�^ PID: S 6 - i/,F -,?,3 3/ 00/1 <br /> DESCRIPTION OF WORK: e �� IN'!8�a/VL <br /> ZONING REVIEW BY: cF� �w.- ------DATE APPROVED: 10--�[ -c1 �--------------. <br /> B:JILDING REVIEW BY: DATE APPROVED: -10 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes V0 SEWER CONNECTION <br /> STATE SURCHARGE Yes--5'-10 WATER CONNECTION <br /> INVESTIGATION FEE Yes No::—� PARK FEE <br /> SAC Yes No_1� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: {(-L. Post Office: �`� School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: Iii Z <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: :Jy'O� f' <br /> Rear (S ree 20d '® 4- Left Side: N�/4 <br /> Adjacent Structures : All A Wetland: (Co <br /> .Peak H t <br /> Building Height: Def. Hgt. /V�� Hgt._ <br /> Avg. Setback: &J 2 Lot Coverage:. <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes 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) : <br />