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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY -D L / <br /> r <br /> ADDRESS OR LEGAL: 230 ) tiU . u)A41 6tAtio PID: <br /> DESCRIPTION OF WORK: /1.4W, <br /> DATE APPROVED: 7 31- 5'S <br /> ZONING REVIEW BY: %41•101.A, ._ <br /> • <br /> BUILDING REVIEW BY: . 1, 0.. DATE APPROVED: ? - 31 -61C <br /> i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _ No <br /> PLAN REVIEW Yes' No SEWER CONNECTION <br /> STATE SURCHARGE Yes-74. 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: <br /> Fire Department: <br /> Pos Office: Scho. e . trict: <br /> Lot Are- : Width De. h: <br /> Survey -ub ' tted: Yes No Date of Survey. <br /> Propose. Set.acks : <br /> Front ( lake) : Right ide: <br /> Re-r (St •eet) : Left S de: <br /> Ad acent 'tructures: etland: <br /> Buildin• Height: Def. Hgt. Peak Hgt. , <br /> Avg. Se 1.ack: of •overage: <br /> Existing Pr•posed <br /> Hardcov= : 0-75 ' <br /> 75-250 ' <br /> 050-500 ' <br /> 5, 0-1000 ' <br /> Hardcove Variance Requi ed: Yes No Date of Council Approval: <br /> Grading: Staff Approval '-te: By: Council Approval Date: <br /> Septic: taff Approval Dat- : B <br /> Zoning F le:# Re olution RD <br /> esolution ate: <br /> REMARKS in house) : <br />