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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ///sr iN11lCuJ ea c . PID: <br /> DESCRIPTION OF WORK: A9+r G J4e61, <br /> ZONING <br /> REVIEW BY: T .:I4A1 <br /> DATE APPROVED: 6 -?-f3 <br /> BUILDING REVIEW BY: $ .V DATE APPROVED: 6-7-93 <br /> .7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes x No <br /> PLAN REVIEW Yes No 1 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes ?( No Date of Survey: <br /> Proposed Setbacks: / ,( <br /> Front (Lake) : //o Right Side: 1, <br /> Rear (Street) : /5-01 Left Side: 41.- <br /> 3Q <br /> Adjacent Structures: asWetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: oK <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' \ \ <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />