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, CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> . ' � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �;� ��� (�.t�, �� ; '' � _PID: , � .� ` • <br /> DESCRIPTION OF WORR: ,., � . I` <br /> ------- --------- <br /> ------------------------------------------- -- <br /> ZONING REVIEW BY: ��Lo �� DATE APPROVED: 6 �Z� '`�2-' <br /> BOILDING REVIEW BY: �� C� DATE APPROVED: �'Z`���' <br /> ----------- ------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes t/� No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> -------------------------------- <br /> ZONING CHECR LIST Zoning District: L/Z-��- <br /> Fire Depar_tment• Y1ito N✓J _ Post Office: w�yzr4TA School District: N-�• <br /> Lot Area: W,362 .S C� . 33 ACR�,s Width: �S � Depth: i�O' <br /> Survey Submitted: Yes p� No Date of Survey: I ��3 -`�2- <br /> Proposed Setbacks: <br /> Front (Lake) • '�Z-� Right Side: �{0 � <br /> Rear ( `'�zz-�.�) � ►v�/� Left Side: i2' <br /> Ad;acent Structures : �/��=r-}`.!� Wetland: N/� <br /> Building Height: Def . Hgt. i(f�/3 Peak Hgt. �J�� <br /> Avg. Setback: C� �- Lot Coverage: /v�/d- <br /> Existing Proposed <br /> Iiardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: �S�">i � <br /> 2 <br /> Grading: Staff Approval Date: �ll �(Ik By: Council Approval Date: <br /> Septic: Staf f Approval Date: �t/ ��1 BY= <br /> Zoning File• # I�i`-i Resolution � : 311"1 Resolution Date: S"11- �Z <br /> F�RMARK$ (1II t10llSe) : <br />