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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z is-D ,'L PID: <br /> DESCRIPTION OF WORK: 12-,CC*2' f2tr7-A/AJ/ti C Cti,�'C.-�- = j f#tC"�-F � _ A-L27 <br /> ZONING REVIEW BY: Air c DATE APPROVED: �'� // <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By:22/L <br /> PERMIT 4k(---) Yes X No <br /> PLAN REVIEW Yes Nom_ SEWER CONNECTION \ <br /> STATE SURCHARGE Yes Nom_ WATER CONNECTION `. !/^ <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION t ` <br /> Number of SAC Units _ OTHER (specify) J� N <br /> ZONING CHECK LIST Zoning District: FOZ - ) & <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: 67 /C Cf <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> Rear ( Street) : Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <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: S - - `'f By: 6 \Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution #: Resolution Date: <br /> REMARKS (in e} : C)/t: s r j s at5 (•i 7_ <br /> C-(_),\),> )T7 C S A) D. 2&) .AAct!ij64) P � H <br />