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� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,33��� C�t�T"A'G �� PID_ <br /> DESCRIPTION OF WORR: �vIN�UB� ��'-'��� --- <br /> -------------------------------------- <br /> ZONING REVIEW BY: /v/� DATE APPROVED: -- <br /> DATE APPROVED: t( /2 `l�s <br /> BIIILDING REVIEW BY: � -- <br /> --------- ------ <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes 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 CHECK LIST Zoning District: <br /> Fire Department: Post Office : School District: _ <br /> Lot Area : Width: epth: <br /> Survey Submitted : Yes No Date o Surv y: <br /> Proposed Setbacks : <br /> Front (Lake ) : Ri t Sid : <br /> Rear ( Street) : L ft Sid : <br /> Adjacent Stru ure : Wetla d: <br /> Bui�ding Height: Def . gt. P ak Hgt. <br /> Avg. Setback: Lot Cov rage: <br /> Ex ' sting Prop sed <br /> Hardcover: 75 ' <br /> 7 -250 ' <br /> 50-500 ' <br /> 500-1000 ' - <br /> Har over Varianc R quired: es No Date of Counci Approval : _ <br /> Gr ding: Staff Ap oval Date : By: Council. A proval Date : <br /> eptic: Staff Approva� Date: BY= <br /> Zoning File• � Res tion # • Resolution Date: <br /> REMARRS (in house) : <br />