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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: q y 5 C.�x �A fz�^ ��-� <br /> PID: <br /> DESCRIPTION OF WORK: ��x,c�+��D ��c.�s s n� ��-+�� <br /> --------____--_-------- - ----- ---1-------------------- <br /> ZOYI�i'G REYIE`V BY: DATE APPROVED: `/-�S-S�/ <br /> BUILDING REVIEW BY: DATE APPROVED: y-c s- S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNEC'ITON <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------- <br /> ZONING CH�CK LIST Zoning District: L(L-1 A <br /> Fire Department: (.,t�N G Lf�K-C Post Office: ���G V��u= School District: C�(ZDN� <br /> Lot Area: Sq.ft. NO CI-4AN(��. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: Q►�s �'��Vc <br /> Proposed Setbacks: � � <br /> Front (Lake): 1�0 � Right Side: �S + <br /> Rear (Street): 1�� } Left Side: �3 Z� � <br /> Adjacent Structures: ��� �= Wetland: N �� <br /> Building Height: Def. Hgt. (�, k- Peal:Hgt. —' <br /> Lot Coverage: � �� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> oning File: # Resolution: # Resolution Date: <br /> horeland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> �� Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> ardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />