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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFF7CE USE ONLY <br /> ADDRESS OR LEGAL: �2 3 � C/�5�" C�'��� PID' <br /> DESCRIPTION OF WORR: '/.,L-L'r.�k- _ <br /> --------------------- -- --------------- <br /> ------------- <br /> ZONING REVIEW BY: DATE APPROVED: G '7 -SS <br /> BIIILDING REVIEW BY: DATE APPROVED: 6�7 -"�s <br /> ---------------------- ------- <br /> FEES TO BE CHARGF.D� Misc. Fees CaJ�culated By: <br /> PERMIT Yes C/ 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 /> ------------------------- <br /> ZONING CHECR LIST Zoning District: L� ' ( � <br /> Fire Department: /►ti Post Office• W Schoo� District:� <br /> Lot Area: 31 ZO y Width: � Depth: 3� � �' /4-� <br /> Survey Submitted: Yes o< No Date of Survey: 1 l �2 ��l 3 <br /> Proposed Setbacks: � ► N <br /> Front (Lake) : /`�5 --� Ri ght Side: 1(� <br /> Rear ( Street) : ^� �� Lef t Side: � � � <br /> Adjacent Structures : I����D Wetland: �/� <br /> Building Height: Def . Hgt. /1/�� Peak Hgt. /J�+� <br /> Avg. Setback: �-� Lot Coverage: <br /> O . �- <br /> Existing Proposed �_gy <br /> / r'✓Lt�r �w„r � S£S�� 1- <br /> Hardcover: 0-75 ' W(G z8o�,� .f36�! ! �Y°Dm "' �Z'��° <br /> �5-250 � � 22.�°7� <br /> 250-500 ' /��G N�� <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval.: <br /> Grading: Staff Approval. te: By: Coun ' ApprovaJ� Date:__ <br /> Septic: Staff ApprovaJ. te: BY� <br /> Zoning File:# R olution # : Res l.ution Date: <br /> � <br /> REMARKS (in hous . <br />