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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> 'ADDRESS OR LEGAL: I C1 6O W e`er7 FAR" glib PID: <br /> DESCRIPTION OF WORK: A00 / 1-70A1 <br /> ZONING REVIEW BY: C6 DATE APPROVED: 3- 2_ 2- 5"1 <br /> BUILDING REVIEW BY: QQQ `��Qo (S2A""e'"- DATE APPROVED: 3- az- II <br /> 't� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes of 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: L12.-14 <br /> Fire Department: (6,.:) c , Post Office: (.,0,4_, 64f School District: (y1,0NO <br /> Lot Area: //0 Cite-AN) Width: ---- Depth: <br /> Survey Submitted: Yes X No Date of Survey: <br /> Z.ors r,C Ii <br /> Proposed Setbacks: i <br /> Front (Lake) : /VW Right Side: 7Q ±: 6:1) <br /> Rear (Street) : /50' ± Left Side: N4 (.0 <br /> Adjacent Structures : /477-AC(l€O Wetland: /I/ 64 <br /> Building Height: Def. Hgt. D - lc Peak Hgt. (j. K <br /> Avg. Setback: /�/l/ Lot Coverage: /(//4 <br /> Existing Proposed <br /> 4 <br /> Hardcover: 0-75 ' <br /> i / / i , <br /> 75-250 ' <br /> 250-500 ' ; / <br /> // <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approvial Date: By: Council Approval Date: <br /> 1 <br /> Septic: Staff ApprovalDate: By .,._ / <br /> / <br /> Zoning File: # Resolution # :,° 7 Resolution Date: <br /> REMARKS (in house) : <br />