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I <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: i 2 9 g W L Ld 1y-oI-ST <br /> PID: <br /> DESCRIPTION OF WORK: eArr 5 fA1 2S - Nom C--J etehACM 4` <br /> ZONING REVIEW BY: lT0 I DATE APPROVED: 6-13- <br /> BUILDING REVIEW BY: /�1 40 DATE APPROVED: 6-13-G1(o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School Distric . <br /> Lot Area: Sq.ft. Acres Widt Death <br /> Survey Submitted: Yes No D. e of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): R'_ht Side: <br /> Rear(Street): I _ eft Side: <br /> Adjacent Stru' res: W. land: <br /> Building Height: D f. Hgt. 'eak Hgt. <br /> Lot Coverage: <br /> Grading: Staf Approval DI - By: Council Approval ate: <br /> Septic: Staf' Approval D. By: <br /> Zoning Fi -: # Resolutio # Resolution Date: <br /> Shorel. d District: <br /> Avg. Setback: Bluff S. .ack: <br /> Exist',g Proposed <br /> Hardcover: 1 75' <br /> 5-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />