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CHECK OFF 3�IST FOR ISSUANCE aF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z.n� u C.�,�"�, f�� <br /> PID: <br /> DESCRIPTIO�i OF WORK: k�t cr�-tci.,► 2.�.ww,��--� <br /> ZOVIVG REVIE`V BY: -----II/�1 ---- DA'I'E APPROVED: <br /> SUIZDING RE'V7EtiV BY: DATE APPROVED: i -Z6�0-7 <br /> FEES TO BE CHARGED:^ Misc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEtiV � Yes ✓ No SE��IER.CONNECTION <br /> STATE SURCHARGE Yes ✓ No �VATERCONNECTION <br /> INVESTIGATION FEE Yes Na ✓ PARK FEE <br /> SAC Yes Na ✓ STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONII�IG CI-�CK LIST Zaning Distric�: /�o GHANC P �, <br /> Fire Departrnent: Post Office: School District: � <br /> I.oc Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks; <br /> Front(Lake): Ri�t Side: <br /> Rear(Streetj: Laf:Side <br /> Adjac�nt c�pl�h!res; �Ve11aIId: <br /> �uilclin� Hei�.t: Det. Hgt, Peak Hgc. <br /> Lot Covera�e: <br /> Gradino: Scaff Approv�l Date: B;: Council Approval Date: ' <br /> Szpcic: Staff Approval Date: �Y: <br /> Zoain� File: � Resolutioa: n Resolution Da:e: <br /> Shorelzr.d Distric[: <br /> Av�. Setback: Bluff S eback: Lot Coverage: <br /> E�is[i.no Proposed <br /> Hz�dcover: 0-75' <br /> 75-25Q' <br /> 2�0-SC�O' <br /> 500-1 G`C0' <br /> �, � , D�„ ;_� �� ,:� n3" C` COI�CI� .A�r.Ov2�: <br /> �-ia�dco'�er �z.zc,c,. yu.:..�: es . � •- <br /> F.E�L4RhS (in house): <br />