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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � � _ FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � l v � =�S� ��L PID: <br /> D$SCRIPTION OF WORR: S l�L- � <br /> ------------------------------_-----6 4 <br /> ------------------- ,p /� n � <br /> ZONING REVIEW BY: d�n�o C`�n�--- DATE APPROVED 9 Y <br /> BIIILDING REVIEW BY: DAT$ APPROVED: �l-�' �`�� <br /> ---------------- -- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes—� No ✓ SEWER CONNECTION <br /> STATE SURCAARGE 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 , Zonin��istr ct: �- <br /> � <br /> Fire Department: �Po t O�'fic . �--�� S o i i� <br /> Lot Area: Wi t . epth. <br /> Survey Submitted: Yes�_ No Date of Survey: -7-�Z� 5 �- <br /> Proposed Setbacks: <br /> Front (Lake) : /t��/� Right Side: �C� � <br /> Rear (Street) : S � Left Side: S�( <br /> Adjacent Structures: I "Zo � Wetland: itl�`¢ <br /> BuiJ.ding Height: Def . Hgt. /v�/�- Peak Hgt. C� •/� <br /> Avg. Setback: /��/4- Lot Coverage: t� •I� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' b. � . <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approva�: <br /> Grading: Staff Approval ate: By. Co ncil Approval Date: <br /> Septic: Staff ApprovaJ. Da e: BY= <br /> Zoning File:# eso�ut' n #: Res lution Date: <br /> REMARRS (in house) : �- , <br /> i <br />