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�CI3EC�K OFF i�IST FOR ISSUANCE O�' PE�'VIITS <br /> • FOR OFFICE USE ONLY <br /> ADARESS OR LEGAL: ��� 2, �' ��:��htil��cCs� <br /> PID: <br /> DESCRT.�'1�ON OF WORK: �C�' x(2' =���C����ct �\c:wt �ti<<<.Eil��� �:.�e..�/ ;���..�4 �I� C�;��^�rrz� <br /> ZOYING REVIE�V BY: `---------------- DATE APPROVED: � � 0 <br /> BtTII�DII�IG REVLEtiV BY: DATE APPROVED; �{ z�i -o-> <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> p�g�T Yes ✓` No <br /> PLAN REVIEtiV � Yes � No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes � I�o `VATERCONNECTIDN <br /> INVESTIGATION FEE Yes No -� PARK FEE <br /> SAC Yes No —r� SITEINSPECTTON <br /> Number of SAC�Uruts OTHER (specify) <br /> --------------------- <br /> ---------------------------------------�--------------- <br /> ZONia�TG CHE.CK LIST Zoning Distric�: L� I/�' �, <br /> Fire Deparcment: Post Office: School District: � <br /> L,ot Area: Sq.ft. Acres Width Depth <br /> Survey Submi[ted; Yes ✓ No Date of Survey: S-�s-�� <br /> Proposed Setbacks: �o�t'� � ��+ � <br /> Froac(Lake): Y11� &.i�E-&ide: <br /> Rear (Stre�t): i1 /a I.ef:Side: I�1� <br /> Adjacenc Structures: �]l� �Vetland: --"—"'— <br /> Buil�lin� Hei�t: Def. Hgt. -� Peak Hgt. <br /> Lot Coverage: <br /> Grading: Scaff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: ►" t'` �Y� `�/ <br /> � � <br /> Zoaing File: n Resolutioa: n Resolution Date: <br /> Shorel�,zd Districc: ��%� <br /> Avg. Setback: Bluff Secback: I.ot Covera�e: <br /> E�scing Proposed <br /> Hardcover: 0-75' <br /> 75-25Q' <br /> 2�0-5Q0' <br /> �00-10U0' <br /> Ha�dco��er Vzia.cce oo�,�;-,�• yz5 �� Da�e oi Ce�ac,! Approv�!: <br /> .,�..��... <br /> F.E�L�R�iS (in ho�e): <br />