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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> F�Q R� OFFICE USE NLY <br /> ADDRESS OR LEGAL: � ZO 12r1 G) I �I aVl <br /> PID: <br /> DESCRIPTION OF WORK: G1 <br /> -------------------------------------------------------------------------------------------- ----------------------�-- <br /> ZONING REVIEW BY.• DATEAPPROiIED: �j l D <br /> B UILDING REVIEW BY: DATEAPPROT�ED: s-7 -o`) <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/� No <br /> PLAN REVIEYV Yes ✓� No SEWER CONNECTION <br /> STATE SURCHARGE Yes% No WATER CONNECTION <br /> INVESTIGATION FEE Yes No f - PARK FE� <br /> SAC Yes No� SITE INSPECTION <br /> Nzrmber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zor�ing Districr: 1--5 <br /> Fire Depar�tn�ent: Post Offrce: School District: <br /> Lot Area: Sq ft. Acr•es �� � YVidth '�"' � Depth <br /> Si�rvey Subniitted: Yes� No Date of Survev: � � � <br /> Pro osed Setbacks: �/'' � L ��! <br /> p Front(Lake): � � hf�f�Side: � <br /> Rear(Street): ' �Lp, t� ilde: ' �"✓, <br /> Adjacent Structures: Y�'etland: <br /> 6urlding Height: Def Hgt. Peak Hgt. � '� ' <br /> Lot Coverage: <br /> Grading: Staff'Appi•ova/Date: By: Cozrr�cil.4ppi•oval Date: �1 2� �� <br /> Septrc: StaffApproval Da1e: /�1� ( � By: <br /> 7_oning File: # �27 1 Resolutior�: � Resolartion Date: 7i 1 �7 <br /> Shor•eland District- NlC6Y"D Permit: <br /> Avg. Setback: Bli ff Setbnc% Lot Coverage: <br /> �xisting P�•oposed <br /> Ha,�dcorer: 0-7.i' <br /> 7�-?.i 0' <br /> zsn-soo� <br /> sno-ioon� <br /> I-Ia�•dcover [%ar•ia��ce Reqa�ir�ed: �es ��'o �i Date of Cozryacrl.<1pp��oval: �'�� � �7 <br /> REMARKS(in lroiise): r✓��� � ��� � � � <br /> 'L�' V'►�- n,t. U <br /> � <br /> �� <br />