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CHECK OFF LISW FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2:72.0 w t♦I fl 0.4x. 414A144,0 PID: <br /> DESCRIPTION OF WORK: ,A O i 11 o/v - I ' ' — <br /> ZONING REVIEW BY: C0.410.0.-.• DATE APPROVED: /1S i Y <br /> BUILDING REVIEW BY: Ci G� 62440446244062440440,0--�i 62440440,0--.. - DATE APPROVED: f Z5-fr 5/ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT YesNo <br /> PLAN REVIEW Yes ./No__ . ' SEWER CONNECTION <br /> STATE SURCHARGE Yeses No WATER CONNECTION <br /> INVESTIGATION FEE Yes No (/' PARK FEE <br /> SAC Yes No SITE SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: RA-i <br /> Fire Department: P f ! t : l ) �i/ School District: <br /> Lot Area: Wid Depth: <br /> Survey Submitted: Yes A No Date of Survey: 5.- Z ir- f 2 <br /> Proposed Setbacks: � <br /> Front (Lake ) : /4114 Right Side: 2.3.4f4 .0 <br /> Rear ( 4 e) : (02't Left Side: 95- 4-C3 <br /> Adjacent Structures: 1o' -I- Wetland: A/I4 <br /> Building Height: Def . Hgt. /5-. S.' Peak Hgt. / , ' <br /> Avg. Setbac Lot Covera%e: <br /> Existin Propose. <br /> Hardcover: -7 ' <br /> 7 -250 <br /> 25 -500 ' <br /> 500 1000 ' <br /> Hardcover Variance - -quire : Yes No Date of Coun• il Approval: <br /> Grading: St.ff Approval Date: By: ! Council approval Date: <br /> Septic: Sta "f Approval Dat : By: <br /> Zoning File # <br /> Refiolution Resoluti.n Date: <br /> REMARKS (in house) : <br />