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CgECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDR$SS OR LEGAL: Z 7 7� C./4 S� �D�N'-± 1� PID: <br /> DESCRIPTION OF WORR: L 1 (S �1� <br /> ZONING REVIEW BY:-- --- --------------DATE APPROVED: �j `�y'C1y <br /> � <br /> BIIILDING REVIEW BY: <br /> DATE APPROVED: �'�Y'�X <br /> ------------------- ------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated 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 /> ZONING CHECR Ti,IST r�'?i'` �i"`�i v`': _ <br /> Fire Departmen <br /> Post Office � Sc oo Dis�ict: <br /> Lot Area: Widt : ept : <br /> Survey Submitted: Yes� No Date of Survey: Z�l5 ��� <br /> Proposed Setbacks : ��. <br /> F�orr� (Lake) : /�D' t Right Side: 7� <br /> �e�r—( street) : �V//-} Left side:_ z5`� �S� <br /> Adjacent Structures: ��u`t'�=� Wetland: /��i� <br /> Buil.ding Height: Def . Hgt. /U �f�- Peak Hgt. ��i� <br /> Avg. Setback: (� 6= �e/L s� n= ��SP Lot Coverage: i✓I'�- <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-2:�� ' _..�L�� <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes NoO� Date of Council Approva�: <br /> Grading: Staff App oval Da _ Council Approva]� Date: <br /> Septic: Staff Ap r val. D te: Y= <br /> Zoning File:# Reso ution Resolution Date: <br /> REMARRS (in h use : <br />