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C1CA4 LE., el 1/ <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> //,,, FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (0(5 (A-)0 - L dot& C1PID: <br /> DESCRIPTION OF WORK: ,5(/N/260tr.. <br /> ZONING REVIEW BY: � DATE APPROVED: 2..c7 <br /> �1 <br /> BUILDING REVIEW BY: Com.--- DATE APPROVED: y - Z `i t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yesy- No--- WATER CONNECTION <br /> INVESTIGATION FEE Yes No om,. PARK FEE , <br /> SAC Yes No—77- SITE INSPECTION <br /> Number of SAC Units OTHER (specify) DDnn <br /> ZONING CHECK LIST Zoning District: N`"l/3 <br /> Fire Department: L•L-- -t� Post Office: (,UA 7, -fey School District: <br /> Lot Area: /5-3/70o s1 t '►`Width: 300_t Depth: S70 <br /> Survey Submitted: Yes LY No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : /(M Right Side: 45.6_:t_ <br /> Rear (Street) : /S3 ' <br /> -tLeft Side: ((' fi <br /> Adjacent Structures : ( ; � � 1±, � Wetland: (� <br /> Building Height: Def. Hgt. 1O t Peak Hgt. (b±' <br /> Avg. Setback: 1t(4-1- Lot Coverage: A4(14 <br /> Existing Proposed <br /> Hardcover: 0-75 ' ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No pC Date of Council Approval: <br /> Grading: Staff Approval Date: //` - By: Council Approval Date: <br /> Septic: Staff Approval Date: /14 By: <br /> Zoning File:# Resolution #: - Resolution Date: <br /> REMARKS (in house) : <br />