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. . . . G��L��c�z�� q���-��9� <br /> CHECR OFFFORSOFFI�CEIUSE ONLY�F P�MITS <br /> ADDRESS OR LEGAL: I��� ��c� ���' ��r� K� PID: d �- i/ �- � 3 3 y a�o�� <br /> DESCRIPTION OF WORR: �E.�t-�C�-/GC��� - <br /> ------------------------------------ -------- <br /> ZONING REVIEW BY: �� DATE APPROVED: �i - Z3' �� <br /> BUILDING REVIEW BY: � L� DATE APPROVED: �!-L3'y� <br /> -------------------- <br /> FEES TO BE CH�,RGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�/ PARK FEE <br /> SAC Yes No �/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------- <br /> ZONING CHECK LIST Zoning District: G R��Cr <br /> Fire Department: �pvN� Post Office: (NMI�LhT►�} School District: o��"° <br /> � / <br /> Lot Area: `d�8 9`f s5 �r Width: � Depth: /9 V� I 6 7 <br /> Survey Submitted: Yes�C No Date of Survey:_ SG�P i � �1 � — <br /> Proposed Setbacks : <br /> Oec.�� b�►R�� ,�c4K v a,2o� <br /> Ftviit' (Lake ) : Sa� /�!/ Right Side: 11•f� •5� <br /> .�ee�.r- (s treet) : N � 2.0,� Le f t s i de: g 5 y •6-3 <br /> Ad jacent Structures : �Ae Z-1 � �p.e�u r�*tM�u+ Wetland: pl/1�- <br /> Building Height: Def. Hgt. /5 � Peak Hgt. 1 �7 � <br /> Avg. Setback: OGc.1c �s NnN E-NG/Lu�4c.�+'w�n,.,�F Lot Coverage: lfl•S <br /> Existing Proposed <br /> Hard�cver: 0-?5 ' $.3�7�d �S•39�b <br /> �s—zso� �f��� 3S.��fo <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: S•26 -�+1 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: Iv �� BY� <br /> Zoning File:# I(,b5 Resolution �: 3�D� Resolution Date: <br /> RSMARKS (in house) : <br />