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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: A.310 I• L/4 '2474 8/W PID: <br /> ,1 a r y /0/( / /44/. s i r6 <br /> DESCRIPTION OF WORK: _TA/ D! Y;Qs N d i 5/4r e- <br /> ZONING REVIEW BY: - DATE APPROVED: St <br /> BUILDING REVIEW BY: - DATE APPROVED: A <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 /> ZONING CHECK LIST Zoning District:1 u D <br /> Fire Department: Alf" .4A1t' Post Office: Ao✓yAce School District: ,e/0/10O <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes Ni, Date of Survey: <br /> Proposed Setbacks : <br /> Front (Lake) : , Right Side: <br /> Rear (Street) : /PI Left Side: <br /> Adjacent Structures . Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> -2 0 ' <br /> 7 5 5 'ffr C' <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) : 24441A1 MC per G.U.t)• <br />