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CHECK OFF LIST FOR ISSUANCE OF PERMITS 074V!! <br /> FOR OFFICE USE ONLY D / G%, <br /> ADDRESS OR LEGAL: /�1 �l4-btfu 7 (►�` IL PID: 01-11-?- az 31 00 3 a <br /> DESCRIPTION OF WORK: LlAJ`-' -'t'" -'r2.4'rilot%) ... 2e,t,,, )4,c, 04kifVt.P(0• & <br /> ZONING REVIEW BY: affireZ. DATE APPROVED: / -3 -9/ <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes " No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes 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: C-K. - /a <br /> Fire Department: Post Office: I"` b. School District: 0,..b' <br /> �-- Width: Depth: <br /> Lot Area: <br /> Survey Submitted: Yes No X Date of Survey: - S C-,i../i <br /> Proposed Setbacks : <br /> Front (Lake ) : Right Side : <br /> Rear ( Street) : Left Side: -- <br /> Adjacent Structures : Wetland: -- <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover : 0-75 ' ////" <br /> 75-250 ' ✓ <br /> 250-500 ' <br /> 500-1000 ' ;41:: <br /> Hardcover Variance Required: Yes No 4- Date of Council Approval: <br /> fil eg/G RC- <br /> Grading: Staff Approval Date: 7-3-°1/ By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File r e--- Resolution #: �- Resolution Date: <br /> REMARKS (in house) : P RAIJAw*1 1 1N-7--. TO /A)et- k i} : R,1- A—P) <br /> c uLv?T FhLL ot/e ca 'eYe-�`� k t " w �- 6xLxy , <br /> s 1 /NSP ± J/ irAret,c e y hP64-6 7-2,-9 I <br />