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�HECK OFF i,IST FOR ISSUANCE OF �ERi�1ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEirAL: I�� S l r���' �•��0�� ��' - <br /> PID: <br /> DESCRLPTION OF WORK: K ��vH+�N (Z�:w��Oc.�zi/ Z- P�'n4 - Dao�s <br /> ZOYING REVIEtiV BY: �--- N (�_____.. DATE APPROVED: <br /> BUII�DING REVIE�V BY• �,..L ( a....�... . DATE APrROVED: F, •t�i•o� <br /> FEES TO BE C�IARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIE`V � Yes No �/ SEtiVE.R C0�INECTTON <br /> STATE SURCHARGE Yes v' No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONIi�IG CTiE.CK LIST Zoning Districr. . <br /> Fire Department: Post.Office: School District: <br /> I.oc Area: Sq.ft. Acres �'Jidth Depth <br /> Survey Submitted: Yes No Date oE Survey: _ <br /> Proposed Setbacks: <br /> Froac(Lake): R.ight Side: <br /> Rear (Street}: Left Side: <br /> Adjaceat Structures; We 1and: <br /> Buil�lin� Height: Def, Hgt, Fe ' Hgt. <br /> Lot Covera�e: ._ <br /> Gradin�: Stafi Approval Date: By: Council Approval Date: ' <br /> i <br /> Sep�ic: Staff Appro��al Date: �Y: <br /> Zoain� File: : Resolutioa: � Resolution Date: <br /> Sho�eland District: <br /> Av�. Setback; Bluff Setback: Lot Covera�e: <br /> Etisti�o Preposed <br /> Hardcover: 0-75' , <br /> 7�-25�' <br /> 2�0-SGO' <br /> 500-1bC0' � <br /> �,�,` �;c ` Da�:e of Cc��cil App-ov�: <br /> Tr.� �Y?: �,rcri?LC� D.=`i'�..��' Va5 i - <br /> � <br /> l� � ' ti n I,LLSz�. ��il+�� � !/r/t��` 'r �l�T Ci1-6 <br /> F.�_.L-a��_ �L_rl ,v� <br /> �}N,�O /} (� �oa4h i.v c.�2_���.�-1� � � <br />