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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> `)DRESS OR LEGAL: 3-600 WW�4`tZ-x'1-19 &4JOPID: <br /> BSCRIPTION OF WORK: <br /> -------------------------------- P <br /> ^KING REVIEW BY: /V 1A DATE APROVED. <br /> UILDING REVIEW BY: DATE APPROVED: <br /> --------------------- -------------------------------------------------------- <br /> '=S TO BE CHARGED: Misc. Fees Calculated By: <br /> ')F.RMIT Yes v No <br /> REVIEW Yes 41" No SEWER CONNECTION <br /> )TATE SURCHARGE Yes .-� NoWATER <br /> RFCONNECTION <br /> INVESTIGATION FEE Yes No PARK <br /> EE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------- <br /> ZONING CHECK LIST Zoning Distri <br /> Fire Department: Post Office: School D' st ict: <br /> :ot Area: Width: Depth: <br /> Survey Submitted: Y No DateXf <br /> Sur v y: <br /> ?roposed Setbacks: <br /> Front (Lake) : Ri t Sid <br /> Rear (Street) . ft Sid <br /> Adjacent Str ctur s: Wetla d: <br /> Building Height: Def. Hgt. L P k Hgt. <br /> Avg. Setback: Lot Cov rage: <br /> Ex sting Prop sed <br /> Hardcover: 0- 5 ' -- <br /> 75- <br /> 75- 50 ' <br /> 250 500 ' <br /> 500 1000 ' <br /> Hardcover Variance R q ired: es No Date of Cou cil Approval: <br /> Grading: Staff Appr v l Date- By: Counci Approval Date: <br /> Septic: Staff Appr v l Date By: <br /> Zoning File:# R olution #: Reso ution Date: <br /> S (in house) : <br />