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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ I C��D ,nt 4 RTi� IZ p W r�l <br /> PID: <br /> DESCRIPTION OF WORK: p�,-���,-� ���,��- a <br /> -------------------------- ----------- <br /> ZONING RE'VIEW BY: DATE APPROVED: /o-L�-�) <br /> BUII..DING RE`VIEW BY: DATE APPROVED: �r�-Z r-s) <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: W w � <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes (� No SEWER CONNECITON <br /> STATE SUR`HARG� Yes v No WATER CONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> -------------------------- <br /> ZONING CHECK LIST zoning District: /1(L-I/� <br /> Fire Department: �, � Post Office: J School District: pe0-n(C7 <br /> Lot Area: Sq.fr. Y�b�Oot� Acres /-g ? Width 2C�U Depth �/30 <br /> Survey Submitted: Yes_ � No Date of Survey: 3-2 7- 4 7 <br /> Proposed Setbacks: <br /> Front (Lake): . Z�� ± Right Side: �6 ��= <br /> Rear(Street): /y7 � � Lefr Side: 7 �J ' � <br /> Adjacent Structures: (eQ � � Wetland; �//�g <br /> Building Height: Def. Hgt. �• (� Peak Hgt. — <br /> Lot Coverage: Nll3- � <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resoiution Date: � <br /> ��� horeland DisL-ict: _ <br /> Avg. Setback: Bluff Setback: I,ot Coverage: <br /> • Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' . � <br /> 250-500' . <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMA.RKS (in house): <br /> • 26 <br />