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� CHECR OFF LIST FOR ISSIIANCE OF PSRMITS <br /> FOR OFFICE USE ONLY <br /> r ��1 / ,� <br /> ADDRBSS OR LEGAL: � ��-YLk� � ;�v- i.�b�?PID:,��- II� "� ��" 3 / - C;C: /�- <br /> DESCRIPTION OF WOR.q: ��,y-c�c�-� ' �� '� _ �w <br /> ZONING REVIEW BY: DATE APPROVED: O r(d <br /> �OII,DING REVIEW BY: �j G�GI DATE APPROVED: �v QC7 <br /> ----------------------�---------------------------- --- -----------------� <br /> ?EES TO BE CHARGSD: Misc. Fees Calculated By: <br /> ?ERMIT Yes No <br /> ?LAN REVIEW Yes No SEWER CONNECTION <br /> �TATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> �AC Yes No SITE INSPECTION <br /> Vumber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------� <br /> ZONING CHECR LIST Zoning District: ' <br /> Fire Department: Post Office: School District: <br /> �ot Area: Width: Depth: <br /> �urvey Submitted: Yes No Date of Survey: <br /> Proposed Setbac�Cs : <br /> Front (Lake) :�4(� + Right Side: /s '�" <br /> Rear (Street ) : Left Side: �D <br /> Adjacent Structures : Wetland: <br /> 3uilding Height: Def. Hgt. Peak Hgt. <br /> �vg. Setback: Lot Coverage: ��- <br /> Existing Proposed <br /> �ardcover: 0-75 ' C� <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> ardcover Variance Required: Yes � No � Date of Council Approval: <br /> ._r_ading: Staff Approval Date: By: Council Approval Date:�. ' <br /> �ptic: Staff Approval Date: By: � <br /> oning File:� Resolution #: Resolution Date: � <br /> � t <br /> :.EMARRS (in house) : � <br /> f <br /> 1 <br /> f <br /> � <br />