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. CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRE�SS OR LEGAL: Z&'�S C�S� Pa.w r !LJ PID: <br /> DESCR:CPTION OF WORR: W t N 1D OcaJ 'y` lJ��- <br /> -----•------------- ,q� --------------------------_-------------------------- <br /> ZONINIs REVIEW BY: /' T� DATE APPROVED <br /> BIIILD:LNG_REVIEW_BYt�j�.(S[M�tr-----------DATB_APPROVEDt_ (�_ �`7_5 �-------------- <br /> _-�— <br /> FEES 'r0 BE CHARGED: Misc. Fees Calculated By: <br /> � � No <br /> PLANI�EVIEW Yes�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No • WATER CONNECTION <br /> INVES'rIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (�ecify) <br /> ------------------------------------------------------- <br /> ZONING CHECR LIST Zoning Distr' ct: <br /> Fire Department: Post Office: Schoo]� Dis i t: <br /> Lot Area: Width: epth: <br /> Survey Submitted es No Da e of Surve : <br /> Proposed Setback : <br /> Front (Lake : Ri ht Side: <br /> Rear (Stree ) : L ft Side: <br /> Adjacent St uctur W tland: <br /> BuiJ.ding Height: Def . t. Peak Hgt <br /> Avg. Setback: Lot C verage: <br /> Exist'ng Pro osed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varianc Required Y s No Da e of Council Approv 1: <br /> Grading: Staff Ap rovaJ. Date By: Council Approval. te: <br /> Septic: Staff App oval Date: By <br /> Zoning File: # Resol tion #: Resolution Date: <br /> REMARKS (in house) : <br />