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� • C�iEC� OFF i�IST FOR ISSUANCE O�' �E��IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGA.L: `�(����1 ����1 ?I�{-� fi'l�l�' <br /> � , <br /> PID• � 3 �>�.� .�r����-��� <br /> DESCR�'TION OF WORK: �.J��`✓�-� /�= r,�.�a �.__.� <br /> ------------------------------------------------ ----- <br /> ZOVPi tG REVIE`V BY: ---- `---- ----- DATE APPROVED: � Z `l � � <br /> SUILDING REVIE`V BY: DATE APPROVED: � •z�'- �b <br /> ---------------------------�Yf��� ---------------- <br /> ����..�.�_�_���_ -�__�� r� <br /> FEES TO BE CHARGED: / Misc Fees Calculated By: �_` �,_��. <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes No SEWER C0�INECTTON — <br /> STATE SUR <br /> CHARGE Yes -�� No WATER CONNECTION — <br /> INVESTIGATION FEE Yes No ✓ PARK FEE — <br /> SAC Yes ^�� No SITEIIvTSPECTION — <br /> Number of SAC Units �_ OTHER (specify) <br /> --------------------------------------------------------------- <br /> ZONI�G CHE.CK LIST Zoning District: ��.�� �. <br /> Fire Department: � Post O�ce: _ �--1--- School District: �� ������ — <br /> L,ot Area: Sq.ft. Acres Width -=�r Depth �� � <br /> Survey Submitted: Yes �/ I�Io Date of Survey: ,%z- �`)Q <br /> Proposed Setbacks: <br /> Front (Lake); R.ight Side: �t� � '�z7 <br /> Rear(Street): Left Stde: ���� � p��'t— <br /> R��� ,�P � <br /> Adjacent Structures: Wetland: <br /> �� _ <br /> Buildin�Height: Def. Hgt. (7� Peal:Hgt. � ��- <br /> Lot Covera�e: � � ? , � ''� - -��a-• <br /> � ���=Ptto..�.��,� �: :,,�.a:. ����kas,'" _s <br /> �r�� �`� f � � g Council Approval Date: <br /> Gradino: Staff Approval Date: Y� <br /> Septic: Staff Approval Date: /��� BY� _.1`—� <br /> Zonin; File: " — Resolutioa: � ' Resotution Date: —_ <br /> Shorelar?d District: �� <br /> AvJ. Setback: — Bluff Setback: � I.ot Coven�e: — <br /> Etisting Proposed <br /> Hardcover: 0-7�' <br /> 75-250' <br /> 2�0-500' <br /> 500-1OG'0' <br /> Hardcover Variance Required: Yes No � Da�e of Counci? Approval: <br /> F.E��i�4RKS (in house): <br />