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� �- CHECK OFF LIST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � /�� v-i��- �z 3 �y �a.� z. <br /> ADDRESS OR I,EGAL: � ��O � ���'� �f �`-� '� PID: � <br /> D$SCRIPTION OF WORR: <br /> �Q��, .�'��'.r�-���1-�°c-�C--' <br /> ZONING REVIEW BY: � -----------------DATE APPROVED:----�'' �-� K-- <br /> BIIII,DING REVIEW BY: <br /> DATE APPROVED: � '� `�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By <br /> PERMIT Yes ✓ 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 (specif y) <br /> ----------------------------------------g- . <br /> ZONING CHECR LIST Zonin District L. 2-- ��- <br /> Fire Department: ost fic : c o District: <br /> Lot Area: dth: D h. <br /> Survey Submitted: Yes� No Date of Survey: 7-6 � �� <br /> -DN t=ll�L <br /> Proposed Setbacks: <br /> Front (Lake) : N�� Right Side: l �S � �` <br /> Rear (Street) : �� Left Side: �� � <br /> Adjacent Structures: �TT�IC�?� Wetland: /t/�i� <br /> Building Height: Def . Hgt. /t/�� Peak Hgt. <br /> Avg. Setback: �'1��� Lot Coverage: ��� <br /> Existing Proposed <br /> Hardcover: 0-75 ' ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' � ��C <br /> Hardcover Variance Required: Yes No� Date of Council Approva�: <br /> Grading: Staff ApprovaJ. Date: By: n il Approva� Date: <br /> Septic: Staff Approval Date: <br /> Zoning File:# Res 1 'on # : � eso�ution Date: <br /> REMARRS (in house) : <br />