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�, CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> . � FOR OFFICE USE ONLY <br /> .-a . � ��� /-�� r��.- -pzn: .��°� -,, 7- .� 3 ��� c�� c� ,2� <br /> AI�DRESS OR LEGAL: �'�C .� �� � L�'-r'' <br /> DESCRIPTION OF WORR: /� C� i�'✓ � �� % ' � <br /> --- _---�------------------------- ----------------------- <br /> ZONING REVIEW BY:--- � DATE APPROVED: (Z- � ' `1`� <br /> BIIILDING REVIEW BY: <br /> �� DATE APPROVED: ( 2. -�-G(� <br /> -----------------------� ----------------------------------------------------- <br /> FEES TO BE CHARGED- Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION I � b �� �� _ <br /> STATE SURCHARGE Yes v No WATER CONNECTION 3 Ov <br /> INVESTIGATION FEE Yes No �� PARK FEE v-�� <br /> SAC Yes� No SITE INSPECTION <br /> Number of SAC Units I OTHER (specif y) <br /> ----------------------g-- . _ <br /> ZONING CHECR LIST Zonin District C.n� ��-- <br /> Fire Department: V�WJN�' Post Office:WA-�.r�;� Schoo� District: (��� �( <br /> Lot Area: Z(�,�71 <br /> Width: //i.�c�s6c�c�.'C Depth: � Z S S �+=' <br /> Survey Submitted: Yes� No Date of Survey: �' z5 " 4y <br /> Proposed Setbacks: , _, <br /> F�e�-� (Lake) : / � S t Right Side: 3 � � <br /> �ea-r (Street) : 32-�`( Left Side: II •�1 � l� <br /> Adjacent Structures: �/�/-�- Wetland: ��R <br /> Building Height: Def . Hgt. O-(L Peak Hgt. C� �(� <br /> Avg. Setback: � •��- Lot Coverage: �� �I� . <br /> Existing Proposed <br /> Hardcover: 0-75 ' � <br /> 75-250 ' 2( .0 1 `�� <br /> 250-500 ' - <br /> 500-1000 ' - <br /> Hardcover Variance Required: Yes No DC Date of Council Approva�: <br /> Grading: Staf f Approval. Date: � - 6 � �l By=� Council. Approval. Date: /n•ZY-�`� <br /> Septi c: Staf f Approval. Date: 'U �A" BY� <br /> Zoning Fil.e:# 1 �1�u Resolution # : <br /> `.� ���/�� Resolution Date: �0 • ZY- �i <br /> REMARRS (in house) : <br />