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' .. � <br /> CHECK OFF LIST FOR ISSUAi�iCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �/6�(� �/q`1Si.OL� <br /> PID: <br /> DFSCRIPTION OF WORK: � <br /> ZONING REVIEW BY: DATE APPROVID: 5- � - `�b <br /> BUII�DING REVIEW BY: DATE APPROVED: S-� - C � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No SEWER CONNECTION <br /> PLAN REVIE�'V Yes <br /> STATE SURCHARGE Yes � No wATER CONNECI`ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STI'E INSPECITON <br /> Number of SAC Units OTHER (specify) _ Y <br /> ------------ <br /> ---------------- <br /> ZO�'�1G CHECK LIST Zo � g District: Shore d istric . <br /> Fire Department: <br /> P st Office• ol is � � <br /> Lot Area: Sq.ft. <br /> cres id epth <br /> Survey Submitted: Yes _� <br /> No Date of Survey: 2 � Z s " `�S �'� �-��'~' <br /> Proposed Setbacks: .Z�� + <br /> Front (Lake): /�/� � Right Side: <br /> O 3af0� ± <br /> Rear (Street): Z 3 Left Side: <br /> Adjacent Structures: /-�"r�-��`'� Wedand: N/A <br /> Building Height: Def. Hgt. C'� <br /> �c,._ Peak Hgt. �- �`" <br /> Avg. Setback: Bluff Setback: Lo[ Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> �I� Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By� <br /> Zoning File: # Resolution: # Resoluiion Date: <br /> RFMARKS (in house): <br />