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• • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ! FOR OFFICE USE ONLY J <br /> ADDRESS OR LEGAL: .%'� � �� j 7' 1•-c..)_ PID: 3S /I8 - 2'-.: // f 000(0 <br /> 3( C) c_M a tC �,A/L.1� <br /> DESCRIPTION OF WORK: �12.��1� C f1 L--L_ � � <br /> ZONING REVIEW BY: 474/ 1, DATE APPROVED: I/ - Z`-I - Ct / <br /> BUILDING REVIEW BY: - _ DATE APPROVED: - <br /> FEES TO BE CHARGD: Misc. Fees Calculated By: c-Xli -----S , <br /> PERMI 7- " ) Yes X No <br /> PLAN REVIEW Yes No X SEWER CONNECTION �- <br /> STATE SURCHARGE Yes No X' WATER CONNECTION <br /> INVESTIGATIONFEE_0,, Yes No PARK FEE <br /> SAC . 75 Yes No SITE INSPECTION ( <br /> — <br /> Number o f' SAC Units OTHER (specif y,, N� <br /> t ~' i 2oCr'- -------_-r: <br /> ZONING CHECX LIST Zoning District: la-ie-1g <br /> Fire Department: /- / Post Office: L School District: C7 r._O <br /> Lot Area: 7_N-c- Width: Depth: — <br /> Survey Submitted: Yes X., No Date of Survey: 2 - 8 <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: J <br /> Grading: Staff Approval Date: /7_24-7 / By Council Approval Date: f -2-Zst I <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# /1i ZS Resolution #: Resolution Date: L/-ZZ- -cit <br /> REMARKS (in house) : <br />