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• .:��� /'r'N��.?��. ���3� _ _ - � - <br /> .: � . - <br /> � ' � ` CHECR OFF LIST FOR ISSIIANCE OF P$RMITS <br /> FOR OFFICE USE ONLY <br /> � S!- 'l ( % L.��"c�� '%�- �( ��� PID: l�`j'' ��7�"�-� � � ���>� � <br /> ADDRESS OR LEGAL: "� _� �" <br /> � % <br /> L'ESCRIPTION OF WORR: z.0 �:� G/�� - ' � <br /> -------------------- ----- ---------------- ---------^-------- _------------ <br /> ZO?TING REVIEW BY: ,j��'�" DATE APPROVED: �� " .X� �� �� <br /> BIIII�DING REVIEW BY:c7-i �o � DATE APPROVED: ( O -3b -c?� <br /> --------------------- ---------------------------------------�- - ---------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: f <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 (specify) <br /> ------------------------------------------------------------- --- ------------ <br /> ZONING CHECR Z,IST Zoning District: �. J� �� � � <br /> Fire Department: �"� �� Post Office: n'1� School District:�tiPi� <br /> Lot Area: �r� ,��. Width: l�� �� Depth:��`�� 'f <br /> Survey Submitted: Yes� No Date of Survey: ��� a - t� 7 <br /> Proposed Setbacks : I �� ' .,� � <br /> F�r� (Lake) : .`��� Right Side: � ' � <br /> � ,} <br /> �e� ( Street) : /.:,�C� '� Left Side: �Z � - �:3 <br /> r <br /> Adjacent Structures : /-�"'(�J��t-�� Wetland: �� ''� <br /> Building Heigh�: Def. Hgt. � Peak Hgt. ' <br /> Avg. Setback: ti,�'t` -��N I�c� Lot Coverage: �� �� /= <br /> Existing Proposed <br /> Hardcover: 0-75 ' l� U l� ��' �'f�U.-�L�%�� I� ��`'�'=L``�;�� <br /> � /`-�% �'_ t� �y-=��`� ,,..� r-� � <br /> 75-250 �Q , � S _ . � � 7S <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: r�"/C` ��I�.-� <br /> Grading: Staff Approval Date: ----- By: — Council Approval Date: <br /> Septic: Staf f Approval Date: -.�--�--- By: -- <br /> Zoning File: # J Resolution #: ��J�ia� Resolution Date: / �n--c��� <br /> ,. <br /> RSMARKS (in house) : � °�'�� /l:�%-,_ �'.�CTT�:"1'�-'� �,X�'S��/� C=. /'��Ca�= <br />