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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: , '/'/ 6i :r( . „ , / e/ PID: '' <br /> DESCRIPTION OF WORK: ��-'' <br /> ZONING REVIEW BY: 1/ ( h ,..-- DATE APPROVED: (0 - (8-5 3 <br /> BUILDING REVIEW BY: �,i'LDATE APPROVED: (0 - 1. -53 <br /> FEES <br /> TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes L - No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No — PARK FEE <br /> SAC Yes No L SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: C-12.- b4 <br /> r-- <br /> Fire Department:/ Post Of .ice h o ict: <br /> Lot Area: , IF idth: D t : <br /> Survey Submitted: Yes x No Date of Survey: (0.-/6- &-G. <br /> Proposed Setbacks: / <br /> Front tLake') : 4/ 70 Right Side: ID <br /> Rear ( et) : 3O O t 't' Left Side: Z2 011' <br /> Adjacent Structures: ArrrAC-416.0 Wetland: /V fii <br /> Building Height: Def. Hgt. 4 -eak Hgt. A <br /> IIAvg. Setback: Lot Cov-rage: <br /> Existing Prop.sed <br /> Hardcover: 0-7 ' <br /> 75-25 '► ' <br /> 250-500 ' <br /> 500-1010 ' <br /> Hardcover Var ance R=•uired: Ye- N. Dat- of Council •pproval: <br /> Grading: Staf Approv-1 Date: By: Council App .oval Date: <br /> Septic: Staff Approval Date: By <br /> Zoning File:# Resol tion Resolution 'ate: <br /> REMARKS (in . .use) : <br /> 1 <br />