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CHECK OF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: y 0&.10 �") r1 PID: <br /> DESCRIPTION OF WORK: G aIA C-C ---------------------- <br /> ZONING REVIEW BY: • <br /> DATE APPROVED: <br /> _i4j11._ ______________ <br /> BUILDIREVIEW BY: DATE APPROVED: 7-S-`7 S <br /> _____ __ _____ ---------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/-No <br /> PLAN REVIEW Yes (- No SEWER CONNECTION <br /> �No WATER CONNECTION <br /> STATE SURCHARGE Yes PARK FEE <br /> INVESTIGATION FEE Yes No SITE IEPECTION <br /> SAC Yes No <br /> Number of SAC Units <br /> OTHER (specify) <br /> ZONING CHECK LIST Zoning District: RR-IA <br /> Fire Department: <br /> Post fic7: AO ,A ' chor District: <br /> ,� / r-� -- <br /> Lot Area: <br /> Width: / / D <br /> Survey Submitted: Yes ,x- No Date of Survey: oma+ t-t Lxt <br /> Proposed Setbacks: Side: 11 0� <br /> Front (Lake) : / Zir (s) Right <br /> O <br /> Rear ( Street) : se Left Side: N(/) W <br /> Adjacent Structures: 3 -1 <br /> Wetland: ni + <br /> Building Height: Def . Hgt. 0 <br /> Peak Hgt. <br /> got Coverag- : <br /> Avg. Setback: <br /> Existing Proposed , <br /> p <br /> / <br /> Hardcover: 0-75 ' / <br /> 75-250 ' __i <br /> 250-500 <br /> 500-1000 ' <br /> Hardcover Variance Requ' red: es No <br /> gate of Council Approval :_. <br /> Grading: Staff Approval Date: By: <br /> Council Approval Date : <br /> Septic: Staff Approval Date: Ipr: <br /> Zoning File:# Re olution # : Resolut on Date: <br /> REMARKS (in house) : <br />