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CHECI1 OFF LIST FOR ISSUANCE OF PERMITS <br /> G FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 0 3 5 ��„-kyz.,),„.e.„✓ PID: (l 17 - // 7 - 0? 3 // G oaY <br /> DESCRIPTION OF WORK: d64-n-e , <br /> ZONING REVIEW BY: d — DATE APPROVED: S- g--7-2., <br /> BUILDING REVIEW BY: ( M„e._- DATE APPROVED: -5--&--7- 1-- <br /> FEES <br /> -&--�2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes "p 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 Noy SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: tk-(s <br /> Fire Department: (Mores Post Office: vgovn.)✓O School District: /✓/� <br /> Lot Area: y31I oo Width: (jAilie5 Depth: OA-«3 <br /> Survey Submitted: Yesp4 No Date of Survey: 7- z - -S <br /> Proposed Setbacks: <br /> Front (Lake) : #/4 Right Side: /I-10 (.1- <br /> Rear <br /> Lo '.tRear (Street) : SS '-f Left Side: / i' '± <br /> Adjacent Structures: 4TT)9�tfe _ Wetland: /WA <br /> Building Height: Def . Hgt. , '/f Peak Hgt. <br /> Avg. Setback: /( * Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' if <br /> 250-500 ' Ail <br /> l, / (:______________ <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No p4 Date of Council Approval: <br /> Grading: Staff Approval Date- :y: `• I cil Approval Date: <br /> Septic: Staff Approval Date By. / Al <br /> Zoning File:# eso uti. #: I R: solution Date: <br /> REMARKS (in house) : i I <br />