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� CHECk OFF LIST FOR ISSUAltiTCE OF PER1ti1ITS <br /> FOR OFFICE USE ONLY <br /> aDDRESS(JRLEG:�L: IVaI Corvoo2��� sT' PID: <br /> DESCRIPTIO\ OF «'ORI�: �J�, �M�''`�' f �`�'��N�.,.ry w�`" <br /> ----------------------------------;, ------------ <br /> ------------------------- ------- ---- <br /> ZO\L\G RE`��V BY: � DATE APPROVED: ►�- ��- �i S <br /> BtiII,DL1G REVIE`V BY: DAT'E APPROVED: 1����' �iS' <br /> -------------------------- <br /> FEES TO BE C�-L�RGED: N1isc. Fees Calculated By: <br /> PER�IIT Yes _� �o <br /> PL�� ��,�E�v Yes _� No SEtiVER CON�tECTION <br /> STATE StiRCH.-�RGE Yes � No wATII2 COi'�ti�tECTION <br /> INVESTIG�TIOv FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of S:�C Units OTHER (specify) <br /> ------------------------------ <br /> --------- o -------------------- <br /> ZI�tiL\G CHEC� LIST Zonin� District: -' � Shoretand District : Y�S <br /> Fire Department: Post Office: ln'1bu-nr✓� School District: <br /> o�t0 Acres • 3 Width 1S0' Depth Z'S`T •S� ►'g'tt� <br /> Lot Area: Sq.ft. 13. — <br /> Survey Submitted: Yes �'- No Date of Survey: 3- b-`►S� <br /> Proposed Secbacks: � <br /> F'1-vtit �Lake): 7�� t Ri�ht Side: I(�� <br /> � (Street): 5� � Left Side: �0� <br /> Adjacen[ Structures: (bJ� t Wetland: N I A � <br /> Buildin� Heieht: Def. Hgt. 12-- Peak H;t. h� � <br /> Avg. Setback: N(t/L Bluff Setback: /v/./Q` Lot Coverage: 1 �•b�9 <br /> Existin� Proposed <br /> Hardcover: �-%�' 2`'�•�' ���Z <br /> 75-2�0, zy,Zol zy•13 <br /> 2�0-�00' 2f. �-O <br /> �00-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> Gradin�: S[aff ?�pproval Date: � � -17-�S By: �--�• Council :�pproval Date: <br /> Septic: Staff �pproval Date: N��' By: <br /> Zonina File: y Z���(_ Resolu�ion: � Resolution Date: //-/ 3"�S <br /> ��1ARKS (in house): <br /> 26 <br />