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C OFFFORSOFF�CEIUSE ONLY�F p$�ITS <br /> �r I�I��� � <br /> ADDR.�:SS OR LEGAL: . � ;� , �C a� • PID: ,- - <br /> _ . , . <br /> r <br /> BESCRIPTION OF WORR: <br /> ------------------------�p---------- ------- <br /> ZONING REVIEW BY: pu� l�l�.�� DATE APPROVED: /a •`�' �l/ <br /> BQILDING REVIEW BY: �,,�QQ � DATE APPROYED: !U -K- �f <br /> --------------------- <br /> FBES TO BE CHARGED- Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� 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 Zaning District: L2•!i3 <br /> Fire Department: ,� LK Post Office: !��`1Z School District: Qi��� <br /> Lot Area: � -v- ✓tG2t�3 Width: � �p � _ Depth: y�i� <br /> Survey Submitted: Yes c/ No Date of Survey: piU F'►1x <br /> Proposed Setbacks : , <br /> Front (Lake) : �/ ?.� t Right Side: '— <br /> Rear (Street) :_ 13 S�� �' Left Side: "7�f <br /> Adjacent Structures : �Sd ' -� Wetland: ��� <br /> Building Height: Def. Hgt. /I��i� Peak Hgt. N�/� <br /> Avg. Setback: Lot Coverage: <br /> Existi;�g Proposed <br /> Hardcover: 0-?5 � � n <br /> 75-250 ' U � <br /> 250-500 ' �' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY= <br /> Zoning File:# Resolution #: Resolution Date: <br /> RF.MARRS (in house) : <br />