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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> CHECK OFF L1 <br /> k.,4-_-) FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l., 11_,CtA_ 6.A._.,• iL,� PID: 3a 1\ k - a 3 -.)-,Lt OCDP <br /> DESCRIPTION nF WORK: 0_41I1 1WK, 'V- cL c_ie <br /> ZONING REVIEW BY: (DAAA.0 DATE APPROVED: t/ /9- °/( <br /> BUILDING REVIEW BY: P* (QAA -- DATE APPROVED: (I-0 -�I l <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 0 No 1/ PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify)nn <br /> ZONING CHECK LIST Zoning District: 12,(&' 0 <br /> Fire Department: L L Post Office: L(_ School District: 3/10/V0 <br /> Lot Area: / W C- Width: i1 / C•- Depth: ivic— <br /> Survey Submitted: Yes )C No Date of Survey: (o - Z-(0 -40 (9.,2 C-I L.ki- c,Py <br /> Proposed Setbacks : <br /> Front (Lake) : N/A Right Side: 37_0/ 1: <br /> Rear ( meet-): --/ It Left Side: N (4 <br /> Adjacent Structures : /1-7711Y-44-ed Wetland: 4/ f,4- <br /> Building Height: Def. Hgt. / 7 Peak Hgt. z Z. <br /> Avg. Setback: N//i Lot Coverage: 409- <br /> Existing Proposed <br /> Hardcover: 0-75 ' 1 <br /> 75-250 ' Ai Air <br /> 250-500 ' A <br /> , / . <br /> 500-1000 ' <br /> i <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff ApprovaDate: / Br: Council Approval Date: <br /> Septic: Staff Approv Date: / / By <br /> Zoning File: # Re lution #: __---- Resolution Date: <br /> \ <br /> REMARKS (in house) : <br /> /: <br />