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CHECK OFF ZIST FOR ISSII.ANCE OF PF�ZMITS <br /> FOR OFFICE USE ONLY <br /> P.DDRESS OR I,EGAL: /7C7U �OI�li�l3 Po��vT /ceA+O PID_ <br /> DESCRIPTION OF WORK: �i,�IO/ T1UNS 7� (�O</S� /�'0 ��'�'�C - <br /> ------------------------_---------- ------ <br /> ------------------ c - <br /> ---------- DAZ'E APPROV� ( � ��`' 7 3 - <br /> ZONING .REVIEW BY:_� <br /> _ , .. . _ <br /> 3IIII.DING REVIEW BY- DATB APPROVED: (d"�`'l"5 ?J" -. <br /> -------------------- -- <br /> �,�5 � gg ��- Misc. Fees Ca�culated By: " _ . <br /> PERMIT Yes�No � - <br /> PLAN REVIEW Yes �//.No SEWER CONNECTION <br /> STATE SIIRCHARGE Yes r/ No WATER CONNECTION " <br /> INVESTIGATION FEE Yes No�' PARR FEE <br /> SAC � Yes No � SITE INSPECTION <br /> Number of SAC IInits OTHER (specify) <br /> ---------------------------- <br /> ---------------------------- <br /> ZONING CHECR LIST Zoning District: La(/j <br /> Fire Department•�dc.7,�►-rY� Post Office:i�A.�,� School District: p/1�rv0 � <br /> - �.*.�.�— <br /> � Width: �,SO't �i✓� Depth: �S�'�-t ��/C <br /> Lot Area:�;� � . ��� <br /> Survey Submitted: Yes�_ No Date of Survey: $=!�'-g3 <br /> q r�0�n eN �A��.' A-,o.GZA7o�•� <br /> Proposed Setbacks : G '� <br /> Front (Lake) : �. ( Right Side:SS' �/�A <br /> Rear (Street) : 3Z�f SS��-� Left Side: y{ Zd � '�' � <br /> � Adjacent Structures : �4-%�9�tt--� Wetland: /(� �/� <br /> . � <br /> -; Buil.ding Height: Def . Hgt. Fj./C Peak Hgt. <br /> 1 <br /> ; r,vg. Setback: /l1 j/•� <br /> Lot Coverage: /Z•S�`� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> � 75-250 � .s � 32.j" � <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: 7-l2-S� <br /> � Grading: Staff Approval Date: Council. Approval Date: <br /> Septic: Staff Approval. Date: BY= <br /> � Zoning File- ���� Resolution � : � �y� Resolution Date: 7-�2"f3 <br /> REMA�2.RS (in honse) : .. <br />