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� ` ' CSECiL OFF LIST FOR ISSIIANC? OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR I.�G� DESCRIPTION: ��� � �---�-�'''��"� ��'� �` <br /> I /� � 1 <br /> �" ' 1 � ' �.��; r1: ��l �--r.— � - �s 2 '�? l�l �'�_ '"� � q � 1. �'�`� �'.J �! ,! <br /> PID: ;� -� � � , . � <br /> DESCRIPTION OF WORR: �Cs c'�C — <br /> -----------------------�--�/T� --------------------------------------------------- <br /> ZONING R$VIEW BY: ����' DATE APPROVED: � <br /> BIIILDING R.EVIEW BY: .DAT$ APPROVED: <br /> PERMIT ISSII� BY: DATE: <br /> ------------------------------ <br /> FEES TO BE CHARGED- Misc. Fees Calculated By: � <br /> . <br /> PERMIT Yes � No SEWER UNIT $ <br /> PLAN REVIEW Yes " No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> PENALTY Yes No "� PARK FEE <br /> SAC Yes Nv " SITE INSPECTION <br /> OTHER (specify) <br /> ZONING CHECR LIST -----------------Zaning District � t�..� ��' ----------- <br /> Fire Degartment: �(�UN� Post Office: 1�Q�l�i� School District:�C�C,�(N � <br /> Lot Area: �7,�/(�C� " T '� Width: Depth: <br /> , _ ��,� c-.t_ vt l`s (.s <br /> Survey Submitted: Yes No Date of Survey: �`��c'� • r , :.. -,`� <br /> - . � _ pw <br /> Proposed Setbacks : _ � s � ��� �'�'�- - <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures : Wetland: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Dates BY� ' <br /> Zoning File:# Resolution # : Resolution Date: <br /> RF.1�lARRS (in house) : <br /> � _ -----_ <br />