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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br />FOR OFHCE USE ONLY <br />ADDRESS C^UEGAL: '2*130 <br />PH): <br />■ <br />DESCRIPTION OF WORK: <br />ZONING REVIEW BY: . <br />BUILDING REVIEW BY: <br />DATE APPROVED: /o-/y>o^ <br />DATE APPROVED: <br />FEES TO BE CHARGED: <br />PERMIT <br />PLAN REVIEW <br />STATE SURCHARGE <br />INVESTIGATION FEE <br />SAC <br />Number of SAC-Units <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Misc. Fees Calculated By: <br />No <br />No <br />No <br />No <br />No <br />SEWER CONNECTION <br />WATERCONNECnON <br />PARK FEE <br />SITEINSPECnON <br />OTHER (specify) ' <br />ZONING CHECK LIST Zoning District: /[JO <br />Fire Department:Post Office: <br />Lot Area: Sq;ft..Acres <br />Survey Submitted: <br />Proposed Setbacks: <br />Front (Lake):Right Side <br />Rear (Street):Left Side: <br />Adjacent Structures: <br />Building Height: Def. Hgt. <br />School District: <br />Width Depth <br />Date of Survey: <br />W etland: <br />P( ak Hgt. <br />Lot Coverage: <br />Grading: Staff Approval Date: <br />Septic: Staff Approval Date: <br />Zoning File: #Resolution: # <br />By:Council Approval Date: <br />By: <br />Resolution Date: <br />Sboretand District: <br />Avg. Setback: <br />Hardcover:0-75‘ <br />73-250* <br />250-300’ <br />300-1000* <br />Bluff Setback: <br />Existing <br />Lot Coverage: <br />Proposed <br />Hardcover Variance Required: Yes Date of Council Approval: <br />REMARKS (in house):