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�HE�K OFF i,IST FOR ISSUANCE OF PE��IIT5 <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEuAL: t Z-�� �3�►A�-��t T�s Po,nrr <br /> PID: <br /> DESCRIPTIO�i OF WORK: C �1�Arv(,L t=L✓�� ��t-��•s� -ro -tiz,Avc� c.�i��►v� <br /> ZOY�IG REVIE�V BY: `-----�-I�— DATE APPROVED: <br /> SUlZD1I�G RE'�TEtiV BY: DA'I'E.APPROVED: �U•30-d� <br /> k'EES TO BE CHARGED: Misc. Fees Caiculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE�V � Yes � No SE`VER CONNECTION <br /> STATE SURCHARGE Yes � No �VA'I'ERCONNECTION <br /> INVESTIGATION FEE Yes Na � PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI�IG CHE.CK. LIST Zoning District: _/v n G I-F A N�C= , <br /> Fire Deparcment: Post Office: School District: � <br /> I.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: . . <br /> Front(Lake): Riaht Side: <br /> Rear (Streetj: L�ft Side: <br /> Adj�cea[ Structures: We land: <br /> Buil�lin�Heioht: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Sca�f fipproval Date: By: Council Approval Date: ' <br /> Szptic: Stafc Approval Date: �Y: <br /> Zoai.ng File: � Resolutioe: # R solution Date: <br /> Shorelznd District� <br /> Av�. Setback: Bluff Secback: Lo[Coverage: <br /> E�isting Proposed <br /> H�.�dcover: 0-75' <br /> 7�-2�0' <br /> 2�0-SOa' <br /> 500-10G`0' <br /> , �.. .,_ 1��.� o�� • �� �;� Da�� �F Co�ncil APP=�vz�: <br /> ����e•� . a L•:a�ce _ ut;ec: es <br /> F.E�L=�R�S (in house): <br />