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� C3ECZ OF'_� I�IST FOR ISS7ANC3 �F ?�'tMITS <br /> � � FOR OFFIC� US�, ONL`� <br /> ADDRESS OR L?GaI, DES�'�IPTION: ���01 '� ���� ! '"5 /C-t�/ <br /> PID: <br /> DESCRIPTION OF WORR: <br /> ------------------------------------------------ =.t:: k�-` �_ ,. �,� , ----- <br /> ZONING REV�EW BY: , ' P � " ,� . - .:,' � <br /> DATE �PP � <br /> ,, <br /> � t1f��� �� � <br /> . ,. � � � � <br /> 30II,DI�7G REVI�A BY. .DAT3 dP � <br /> � C <br /> PERMIT ISSIIED BY: DATE: ' � `�' <br /> t S..r'r=�-- <br /> -------------------------------------------= ��C�� �-p ---- <br /> FEES TO BE CHARGED: Misc. Fee� <br /> PERMIT Yes rIo S�WE. ` �'� 1���.f`��',� �� <br /> � !f C__�R �� <br /> PLAN REVT_��A Yes LIo S�A'_ _ " _ <br /> STATE SURCHAFZGE Yes No WATER CONN�., '` <br /> PENALTY Yes No PARK FEL _ <br /> SAC Yes No SITE INSPECTION <br /> OTHER (specify) <br /> -------------------------------------------------------------------------------- <br /> ZONI�7G C3EC� L�ST �oning Dist�ic}: <br /> iire Denart^�ent: Pos` Of�ic�: School Dist�ict: <br /> Lot Ar�a: Widtz: Dept�: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks : <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: . <br /> Adjacent Structures : Wetland: <br /> Existing Proposed <br /> �ardcover: 0-75 ' <br /> 75-250 ' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: <br /> J-� <br /> srading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� � <br /> �oning File: # Re�olution ,� : Resolution Dare: <br /> �jFiMARR$ (� house) I <br /> 6 _.____.--- -- �----- __---.. .--- --•------ <br />