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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br />FOR OFHCE USE ONLY <br />ADDRESS OR LEGAL: 22.MO _________ <br />FED <br />T- <br />■— s <br />O^CRIPTIONOFWORK: L.ANQ AergitA-no^ C igxng/^no^^ <br /></./*✓- ooZONING REVIEW BY <br />building review byJY: <br />DATE APPROVED: <br />DATE APPROVED:A/f^ <br />« ^ <br />FEES TO BE CHARGED: Fees Calculated By: <br />PERMIT Yes No <br />PLAN REVIEW Yes No SEWER CONNECTION <br />STATE SURCHARGE Yes No WATERCONNECnON <br />INVESTIGATION FEE Yes No PARK FEE <br />SAC Yes No snEINSPECnON <br />Number of SAC* Units OTHER (specify)— <br />ZONING CHECK LIST Zoning District: _A_«j_t2A3E£D <br />Fire Department: PostO ce: School District: <br />Lot Area: Sq.ft..Acres <br />Survey Submitted:Yes <br />Proposed Setbacks: <br />Front (Lake): <br />Rear (Street): ___ <br />Adjacent Structures: <br />Building Height: Def. Hgt.. <br />Lot Coverage:_________ <br />Depth <br />Date of Survey: <br />Grading: Staff Approval Date: H' IH <br />Septic: Staff Approval Date: <br />Wetland: <br />Peak Hgt. <br />- Oo By: ^.Q ■ Council Approval Date; <br />By: — <br />i <br />j <br />j <br />111