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CHECK OFF LIST 'OR ISSUANCE OF PERMITS <br /> . 11 FOR"`Ori ICE USE Q Y <br /> < 2(,/ !tied 0\1NS /d ie �/ <br /> ADDRESS OR LEGAL: —1 PID:��� ll� - <br /> l -2- - 00 C <br /> DESCRIPTION OF WORK: ADD/770/4 <br /> ZONING REVIEW BY: ,dr- ,i2.0 al/Vv..et". DATE APPROVED: 2. -Z3" i 3 <br /> BUILDING REVIEW BY: •A. g•o 62.1ADATE APPROVED: Z-2 3 -S 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t/" No <br /> PLAN REVIEW Yes r/- No SEWER CONNECTION <br /> STATE SURCHARGE Yes 1/- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No - PARR FEE <br /> SAC Yes No & SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 4/2 -)8 <br /> Fire Department: rytia v nrc0 Post Office: Gx e,,e.c t ,t School District: (A_) es7"D/vk4 <br /> Lot Area: N /C Width: Depth: <br /> Survey Submitted: Yes x No Date of Survey: 5- 1R -5b <br /> orf- 8n! Cwe <br /> Proposed Setbacks:Front (Lake) : /WA Right Side�S�e-I K i <br /> Rear ($k _=t) : �S' Left Side: A/ I <br /> Adjacent Structures: AJ/40 Wetland: /61.- <br /> Building Height: Def. Hgt. 0. 1( Peak Hgt. <br /> Avg. Setback: /V M- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' 0 0 <br /> 250-500 ' V?• Z crld (t 1 01-0 <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Dat - . By: /C•u cil Approval Date: <br /> Septic: Staff Approval Da By: <br /> Zoning File:# / e .o1uton #: , Resolution Date: <br /> REMARKS (in house) : <br />