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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /000 ll /d,4kr i- ThO(/ PID: )7`//7 ;."f t I" <br /> DESCRIPTION OF WORK: AO/carat\ ! a py-4 Yr. i7d---(4) dOcLi <br /> ZONING REVIEW BY: „P—r _.1 ,r►,"L" DATE APPROVED: 1 (---9 ' <br /> ` <br /> / r <br /> BUILDING REVIEW BY: 0.4_ DATE APPROVED: l 2' �'d 3 <br /> FEES TO BE CHARGED: <br /> Misc. Fees Calculated By: <br /> PERMIT Yes ( -No <br /> PLAN REVIEW Yes-17' Nom' 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: 1�� IE <br /> Fire Department: fiiVhd Post Office: MX/1d School District: 1jj2S+on <br /> Lot Area: (? s+. Width: /K.) ',4!/e,r QDepth: ac0 Avereqe. <br /> Survey Submitted: Yes VNo Date of Survey: cl----.5=e,.47 <br /> Proposed Setbacks: ' <br /> Front (Lake) : 10-7 Right Side: <br /> Rear (Street) : q71 Left Side: /3 <br /> Adjacent Structures: alga Wetland: / V . <br /> Building Height: Def . Hgt. //1T�- Peak Hgt. f A <br /> Avg. Setback: i� A- Lot Coverage: I0 -Existiyng Proposedopo <br /> Hardcover: 0-75 ' 23 /D 00 <br /> 75-250 ' J 1.S-70 39./ % <br /> 250-500 ' aia% 36,R 710 <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes 1.,'/No Date of Council Approval:.*'F;7e2 19TS <br /> Grading: Staff Approval Date: 4/74- By: Council Approval Date: <br /> Septic: Staff Approval Date: 4/4 - By: <br /> a'?-61 JJo Resolution Date: N"Zoning File:# Resolution # ' <br /> REMARKS (in house) : <br />