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' � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> �'iDDRESS OR LEGAL: �ZZ�10 C���/V1t(.� Pc.(AC.C� PID: - <br /> D$SCRIPTION OF WORR: ��- � ��6� � �-e-�' <br /> -------------------- --------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �' �' � S <br /> BIIILDING REVIEW BY: C4 �i(,w�_ DAT$ APPROVED: 6 • �- 55 <br /> -------------------- <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ 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 /> ----------�--- <br /> ZONING CHECR LIST Zoning District: �. "�L <br /> Fire Department: �A,ov�•� Post Office: v�ac.��a.tv4�-School District: �vN� <br /> Lot Area: �l6 �3 Width: 5� Depth: / `� 3 • `( 6 � <br /> � <br /> Survey Submitted: Yes� No Date of Survey: 5'-�1 - 9 S <br /> Proposed Setbacks: �`� ��� �- G�*n�� <br /> Front (Lake) : Nr/� �ss R?_gh.t Side:_ o � � <br /> Rear (Street) : �Z•°1 Lef t Side: ��• g '-' <br />� fJe�« (�I+RA�,� <br /> > Adjacent Structures: �� -� �-tU ` -} Wetland: /l��i'� <br /> Bui�ding Height: Def . Hgt. (''. �� Peak Hgt. O• �� <br /> Avg. Setback: /V I`t Lot Coverage: /3.���o <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' 3Z•�'l '30 `�� <br /> 500-1000 ' <br /> �-- <br /> Hardcover Variance Required: Yes No� Date of Council Approva�: <br /> Grading: Staff Approval Date: ��� By: Council Approval. Date: <br /> Septic: Staff Approval. Date: /1/�/� By: � <br /> Zoning File:# '� Reso�ution # : � Resolution Date: � <br /> REMAFtKS (in house) : - <br />