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„ CgE�g pgg LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> � � � PID: v'�Q�// 7-- � 3 �2�{ ����� <br /> ADDRESS OR ZEGAL: ���U �-���'�' � � <br /> DESCRIPTION OF WORR: /�-E-%y',���!�---------------------------------------- <br /> - -- C�� : �t - IL-5 � <br /> ------------------ - <br /> -- DAT� �PROVE� <br /> ZONING REVIEW BY: <br /> DATS APPROVF�D: 9 -� 2 - `� S <br /> BIIII�DING REVIETr7 BY: -------------------- <br /> ------------------- <br /> ------ Fees Calculated By' <br /> FEES TO BE CHARGED: Misc. <br /> PERMIT Yes '� No <br /> PLAN REVIEW Yes C/' No SEWER CONNECTION <br /> Yes ✓No WATER CONNECTION <br /> STATE SURCHARGE No PARK FEE <br /> INVESTIGATION FEE YeS No SITE INSPECTION <br /> SAC YeS OTHER ( specify) <br /> Number of SAC Units '-------- <br /> ---------------------------- L2, IL <br /> --- Zoning District: <br /> ZONING CHECR LIST <br /> Fire Department: �'Yl�ovr✓� <br /> Post Office• vU�I�"r''}-School District: w -'ro^�� <br /> Lot Area: <br /> /t/'O G Ff1-M��C Width: � Depth: — <br /> Survey Submitted: Yes O� No <br /> Date of Survey: �” Z�" -`� � <br /> Proposed Setbacks: S ' .�. Right Side• Ib � � <br /> g��t (Lake) I g - <br /> ' r 5 <br /> �r (Street) : 10.� ��' Lef t Side: l0 5 <br /> , ��� Wetland: ��� <br /> Adjacent Structures: /}� <br /> Bui�ding Height: Def . Hgt. ��� <br /> Peak Hgt. � <br /> Avg. Setback: C�•1�- peR- A�''�`•'''�'�-� Lot Coverage: � • �� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' ( � v ���� <br /> 250-500 ' <br /> 500-1000 ' - <br /> Hardcover Variance Required : Yes No D� <br /> Date of Council Approval:___ <br /> Grading: Staff App val Date: By= <br /> Cou cil Approval Date:�_. <br /> Septic: Staff App al Date• By' <br /> Zoning File:# <br /> esolution �- esolution Date:�_ <br /> REM�KS (in h use) . <br />