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- •� • ' CHECK OFF LIST FOR ISSIIAN� OF PER�'iITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3Z�I5 C;RZI`«�A��; I��D�y��) PID: <br /> DESCRIPTION OF WORR: �. V�T" f-� �'-�_ �^•, ,>�� �_�- ------------------------------- <br /> -----------/--------------- <br /> ZONING REVIEW BY= I� ( / ) DATE APPROVEDz <br /> DATE APPROVED: �- �� "�/� <br /> BIIII.DZNG REVIEFI BY: �"�''�: �-�-ti���- - ------------------------------------ <br /> FEES TO BE CHARGF�= -r Misc. Fees Cal.culated By: <br /> PERMIT Yes ✓ No � <br /> PI,AN REVIEW Yes—� No SEWER CONNECTION <br /> STATE SURCHAKGE Yes�� No - WATER CONNECTION <br /> INVESTIGATION FEE Yes No �%: PARR FEE <br /> SAC � Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------- <br /> ZONING CHECR LIST Zoning Dis rict: <br /> Fire Department: <br /> Post Offi e: School D �strict: <br /> Lot Area: Width: Depth: <br /> � �, <br /> Survey Submitted: Ye�� No Da e of Suxvey: �� <br /> � <br /> Prcposed Se�backs: I ght Side- <br /> Front (Lake) # ' � <br /> J ', <br /> ' �eft Side: <br /> Rear (Stree ) : <br /> � <br /> i <br /> Adjacent St uctur�s: Wetland: <br /> ' Peak Hgt. <br /> Buil.ding Heightc Def . ',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 Require�: Yes No <br /> Date of Council Approval: <br /> � gy; Council Approval. Date: _ <br /> Grading: Staff Approval D�te: <br /> Septic: S;taf f Approval. D�ite: . B�'� <br /> Zoning F�.le•# _ -�, ResoZution �: ResoI.ution Date: <br /> , <br /> RF�M(ARK$ (1.II house) : % .- <br />