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CHECK OFFt LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: f,(, I k-rS I,,pOf"- Ln,ePID: o21-// 7-,9 3- ,2,3 a a 3 9 <br /> DESCRIPTION OF WORK: ,4 G4 di` <br /> ------------------------------------4----------------------------------------- <br /> -------------- <br /> ZONING REVIEW BY: f A N^, DATE APPROVED: S-2Z -GI/ <br /> BUILDING REVIEW BY: CT Q��'^w-- DATE APPROVED: s- 2 Z—Gl/ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L,<-ld <br /> Fire Department:_ltiW n,/I Post Office: rwa,.j•*9 School District: f�2o.•r0 <br /> Lot Area: 1 %3q3 •by 4cp lidth: Depth: <br /> Survey Submitted: Yes ,i No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: y ' f <br /> Rear (Rowmei) : $' Left Side: <br /> Adjacent Structures : /4 7r? Gfe,'5 Wetland: /✓/A <br /> / <br /> BuildingHeight: Def. Hgt. N4 Peak Hgt. <br /> Avg. Setback: /V/I Lot Coverage: <br /> Existing Proposed \ <br /> Hardcover: 0-75 ' 0 O <br /> 75-250 ' 33 cl ° A °� <br /> `� <br /> 250-500 ' !c1• -L 19 - 1 07o 30 o /fW,,L-„Cc0 <br /> 500-1000 ' WA <br /> Hardcover Variance Required: Yes No DL Date of Council Approval: <br /> Grading: Staff Approval Date: OVIA By: Council Approval Date: <br /> Septic: Staff Approval Date: IU�1'� By: <br /> Zoning File:# 1633 Resolution Resolution Date: -e-- /3 -9� <br /> REMARKS (in house) : <br />