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CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��gS CNl_.2R�, P(_A-C.0 PID' <br /> DESCRIPTION OF WORR: 5 ��� ���� <br /> ------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: k �Z-3-5 x <br /> BIIILDING REVIEW BY� DATE APPROVED: S'- Z.3'`l�{ <br /> ---------------------- ----- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <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 c/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------- <br /> -------------------- <br /> ZONING CHECR LIST Zoning District: L2'1� <br /> Fire Department: Pos Of ce: Schoo� District: <br /> Lot Area: Wid h: Depth: <br /> Survey Submitted: Yes�_ No Date of Survey: �-1 7- g� <br /> Proposed Setbacks: , � � <br /> Front (Lake) �7 (�� Right Side: � � <br /> Rear ( Street) : 31' (-W) Lef t Side: / Z3 � <br /> Adjacent Structures: Z 2� Wetland: ��� <br /> Buil�ding Height: Def . Hgt. C� .�� Peak Hgt. <br /> Avg. Setback: !V �/� Lot Coverage: <br /> Existing Froposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' 2 3 • �� 23-� <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes NoD� Date of Council Approval: <br /> Grading: Staff Appro al Dat : By: Council Approval Date: _ <br /> Septi c: Staf f Appro al. Date By <br /> Zoning Fi�e- # R soJ.ution # : Resolution Date: <br /> REMARRS (in house) <br />