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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ' /(46 l,�t.5r - CIL2c PID: <br /> DESCRIPTION OF WORK: SH <br /> DATE APPROVED: y-2g• f(,,ZO\ZNG REVIEW <br /> BY: • 1. 10.4t...- DATE <br /> -S� <br /> BUILDLNG REVIEW BY: S •�K(O DATE APPROVED: f ' <br /> Misc. Fees Calculated By: <br /> FEES TO BE CHARGED: No <br /> PERMIT Yes ✓ SEWER CONNECTION <br /> PLAN Yes Ni RIATFR CONNECTION <br /> STATESURCHARGE YesJ�. PARK FEEINVESTIGATION FEE Yes No <br /> SAC -Yes SITELNSPECTION <br /> NO Number of SAC Units OTHER (specify) <br /> ZONZ:NG CHECK LIST Zoning District: Q2-t(3 <br /> Snoreland District: NO <br /> S orFire Department: "Post Off _: - A A/ ��//_ <br /> Depth <br /> Lot Area: Sq.ft. Acres <br /> •id a. <br /> Survey Submitted: Yes <br /> No Date of Survey: <br /> Proposed Setbacks: Right Side: <br /> Front (Lake): <br /> Rear (Street): Left Side: <br /> Adjacent Structures: <br /> Wetland: <br /> Building Height: Def. Hgt. <br /> Peak Hgt. <br /> Avg. Setback: <br /> Bluff 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 /> N <br /> Septic: Staff Approval Date: By: <br /> Zoning File: <br /> Resoiution: # Resolution Date: <br /> REMARKS (in house): <br /> 26 <br />