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�� �i.:�/��L.C'� /�/...3/ . . <br /> � CHECK OFF LIST FOR ISSIIANCE OF P$R1�SITS <br /> FOR OFFIC� USE ONLY <br /> AnDx�ss oR ��z: '��`�'_� ,�", -�/ �� ��� prn: /?-- 11��' - � � �f��/ �D 2 C� <br /> DESCRIPTION OF WORR: �-C.`l��F '�` � � !.. .' �> . ' , , � � , <br /> ._---_-- <br /> --------------------- _ -----------------------�------------------ <br /> �-� DATE APPROVED: � � � � ' � ' <br /> ZONING RE'VIEW BY: ;-�/`'��'!'� ", <br /> BIIILDING REVIEW BY: C��r� DATE APPROVED: �c� - 3 0 ��L� <br /> FEES TO BE CHA.RG�:-- -----------Misc Fees Calculated By -/ ��J�--� ------ <br /> : <br /> pERMIT Yes ✓� No <br /> PLAN REVIEW Yes� No S�.WER CONNECTION ' <br /> STATE SURCHARGE Yes �" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No - PARK FEE <br /> SAC Yes No 6 SITE INSPECTION <br /> Number of SAC IInits �--�-�-� OTHER (specify) <br /> ------------------------------------------- - <br /> ZONING CHECR LIST Zoning District: ,� ,'- � <br /> � '`��f �_ Post Ofiice: ��.�i��- Sc:zool Dist~ict: ����'>'-'�' ,�L_ <br /> Fire Department:� <br /> � - i.�, � Width: 1 + Depth: Z��� � � <br /> Lot Area: � '� -- <br /> `., _ . _.� \ <br /> Survey Submit�ed: Yes � No Date oz Survey: � ",� ` � � � '�L-f�. "-�°`� i <br /> Pro�osed Setbacks : �� / � ,� ` , <br /> Front (Lake i : / - Rignt Side : �- - ,,,� <br /> Rear ( St�eet) "f �' , `r Lert Side � . �' _ �' • , <br /> Ad jacen� St�uctures : ,�" - ` - Wet?and: - <br /> Building �ieignt: Def. Hgt. '� Peak Hgt. <br /> Avg. Setback: `-" � Lot Coverage: -- ----- <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> , -- <br /> 75-250 ' � . <br /> , <br /> ,. ,� _ <br /> 250-500 ' � " � <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: �- By: Council Approval Date: � <br /> Septic: Staff Approval Date: - BY= <br /> Zoning File: � "- Resol.ution tt: ` Resolution Date:_ <br /> � <br /> �� , ' ' ;�. lI ,- <br /> R$MARKS (in honse) : - � <br /> .� , r- ! � � . J , . . <br /> v � (� f <br /> . �7 ..� .�, -, � .-. . , <br /> i�- � � .. . ' � . .� . <br /> � � <br />