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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 33Y5 C�yST��- !��� �O PID' <br /> DESCRIPTION OF WORR: DE U� O v e2- ���Ti^f �� � �� ��� _ <br /> ----------------------------------------- - -- <br /> ZONING REVIEW BY: DATE APPROVED: `��2�7-g Y <br /> BIIILDING REVIEW BY: DATE APPROVED: �''l- 2-�1-�+`� <br /> ---------------------- - <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �Na <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes f 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: G2���. <br /> Fire Department• /�( L Post Of f ice: pt/ f t, Schoo� Di strict: f��C <br /> Lot Area : �Zti� 5�_ Width: �� Depth: 1 (� .S/ f��v-C _ <br /> Survey Submitted: Yes� No Date of Survey: �S-2� - SY <br /> Proposed Setbacks : � <br /> Fro7rt (Lake) : �s � Right Side: 7 •3 <br /> �rr �� t) : n/�� Left Side: 28�-�' <br /> Ad j acent Structures : ��L-/�''�� Wetland: N�� <br /> Puilding Height: Def . Hgt. /✓�/1- Peak Hgt. /J�f4 <br /> Avg. Setback: �(�-���C,� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' ��_`° <br /> 75-250 ' 73�a <br /> !�.� - <br /> 250-500 ' <br /> 500-1000 ' <br /> ��� p v ez- ��. ��n.�r� � <br /> Hardcover Variance Required: Yes No� Date of Council Approval : <br /> Grading: Staff Approval Date: G✓�_ By: Council Approval Date: <br /> Septic: Staff Approval Date: �(/�� By: <br /> Zoning FiJ.e: # ��l(0 1 Resolution # : ����'� � Resolution Date: ' - "L iv� <br /> REMARRS (in house) : <br />