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. __ _ - <br /> � ' - <br /> � CHBCR OFF LIST FOR ISSIIANCE OF PSRMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �L-`�,� h- f-j���r�-�,,�,,._, t�;�� �:�<�_, i�-� PID: <br /> DESCRIPTION OF WORR: <br /> ------------------------------------------------------------------------------� <br /> ZONING REVIEW BY: {M� DATE APPROVED: �� -�-5-' l�� <br /> BIIILDING REVIEW BY: DATE APPROVED: /(� l/G I R�O <br /> FEES TO BE CHARGSD: 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 CHECR LIST Zoning District: �' <br /> Fire Department: �-- Post Office: �r School District: <br /> Lot Area: '-- Width: �- Depth: `�— <br /> Survey Submitted: Yes�No Date of Survey: � —' � -' 10 <br /> Proposed Setbacks : / ,� <br /> Front (Lake) : Right Side: <br /> 1 <br /> Rear (Street) : f o�U Left Side: `-' <br /> ._.�--- <br /> Adjacent Structures : Wetland: <br /> .-._--_ <br /> Building Height: Def. Hgt. 'J- Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing 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 /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning Fi le: # /� �(o Resolution # : � � �3 Resolution Date:16 - �"cl� <br /> S (in hou e) : ". <br /> � <br /> i <br /> i <br /> - ! <br /> � <br />