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. - <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l �� �3 l b S��N/, <br /> PID: <br /> DESCRIPTION OF WORK: � �,,_ po <br /> ZONING REi�IEW BY.• N� DATEAPPROVED.W 4'-iZ--�� �_ <br /> BUILDING REi�IEW BY.• DATEAPPRO[�ED: _�-�Z-O� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � w�_______________ <br /> PERMIT Yes ,� No <br /> PLAN REVIEW Yes �/ No SEWER CO.NNECTION <br /> STATE SURCHARGE �'es �� No WATER COIVNECTION <br /> INVESTIGATION FEE �es No �/' PARK FEE <br /> SAC Yes No_r� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> -------______�_____-----------__�_____------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq ft. Acres W idth Depth <br /> Survey Sz�bmitted: Yes e( No Date ofSurvey: ON F�1�:.. <br /> P��oposed Setbacks: <br /> Front(Lake): q$� �' Right Side: _'j")� -!� <br /> � t <br /> Rear(Street): $b '�' Left Side: l 0� <br /> Adjacent Structures: N//4 � Wetland: �//v� <br /> Building Height: Def Hgt. U' .� Peak Hgt. <br /> Lot Coverage: Q.k. <br /> G�-ading: StaffApp��ova!Date: nl �� By: Council Appr•oval Date: <br /> Septic: Staff Approval Date: _ — By: <br /> Zoning File: # �' Resolution: # Resolution Date: <br /> Sha•eland Distt•ict: ./.eS A1CYl'D Permit: <br /> Avg. Setback-: 'u •IL BluffSetback — LotCoverage: — <br /> Fxisting Proposed <br /> Hardcover-: 0-i.i' <br /> 75-2�0' <br /> ?.i 0-.i DO' D.1< <br /> �00-1000' <br /> Har•dcover ('a�-iance Reqz�ired: I'es N'o oL Date of Cozuzcil Approval: <br /> REMARKS(i�r house): <br /> 33 <br />