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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4 2) 3-O L6 0.z/ Z u t. £/C d i PID: 31/4/s -?3 2a601 ,/ <br /> DESCRIPTION OF WORK: rem/?a('a r j- Co /R <br /> ZONING REVIEW BY: ` � IN�� DATE APPROVED: <br /> BUILDING REVIEW BY: 3i DATE APPROVED: 3- z‘ 91 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓- No WATER CONNECTION <br /> INVESTIGATION FEE Yes Nom/ PARK FEE <br /> SAC Yes No b SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 1)C O - / <br /> Fire Department: gC- Post Office: /L C- School District: (y <br /> Lot Area: -- Width: '-- Depth: <br /> i <br /> Survey Submitted: Yes No Vate of Su ��ep`:' <br /> Proposed Setbacks : <br /> Front (Lake ) : Right Side: � �j <br /> Rear ( Street) : / D-$ Left Side: J.107.4100 <br /> Adjacent Structures : /.3' <br /> Wetland: <br /> � r1 <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: 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) : No f J-�•--� <br />