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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL: I 3�f 5 f3 f��.� ��%�-,'� PID: <br /> DESGRIPTION OF WORR: i� c=�cC � C�55 '�tr✓ �� �� i1Jo G�4�/!�/Is��L (ivoN L�tic/ce,�� s <br /> ----------------------------------------------------_------5-------------------i <br /> ZONING REVIEW BY: �� ,,�,._ DATE APPROVF�D ,� `I `� <br /> BIIILDING REVIEW BY: DATS APPROVED: j -�� � � �'r <br /> --------------- <br /> F�S TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �'�'�No <br /> PLAN REVIEW Yes ii No SEWER CONNECTION <br /> STATE SURCHARGE Yes �' No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v'"� PARK FEE <br /> SAC Yes No `''"�r SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: f)� �t� <br /> Fire Department: Post Office: __:� � Sei��vol District: <br /> i/ �, (- <br /> ' � �`H2 t�i t <br /> Lot Area: Width� , � P <br /> Survey Submitted: Ye s��C No Date I�of Survey: ��-"�- �s <br /> � o,� t�c�- <br /> Proposed Setbacks : - <br /> Front (Lake) : �c�} � J Right Side: �5��+ � <br /> Rear (Street) : �c� �(w� Lef t Side: �� + S <br /> � <br /> Ad j acent Structures: ���-x���-�c� Wetland: � �� <br /> BuiJ.ding Height: Def. Hgt. /t/(� Peak Hgt. <br /> Avg. Setback• %�/ ��-1 Lot Coverage:7 S l� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' _ � .�. 5 �� <br /> Hardcover Variance Required: Yes Noi� Date of Cot�cil Approval: <br /> I � <br /> Grading: Staff Appr�val Date: By: ' Counci� Approval Date: <br /> Septi c: Staf f Apprav ]. Date: By: <br /> Zoning Fi�e:# Resolution #: Resolution Date: <br /> RF.MARKS (in house) : ���C�(= �� C.PSS;' ��� 3U " C.�r�-r ��� �. ���?�f� ��- <br /> � � <br /> `�y vr/ �j ��s r r�—z�-�=�� f� fu oN c-rJC:��vr'n""`�- ��� yl� ��1 v�2c.�-,-.�✓ 5 <br /> � <br /> ��C� S�G�O/� IU.D:�� ��.3✓> ls L�� � <br />