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. <br /> CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: �`�U� U ��;�7�"Gt_ i l��!/ 1,;� Jl G� <br /> PID: <br /> DESCRIPTION OF WORK l�l S � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONINGREVIEWBY.• � DATEAPPROTrED: j2 (I O <br /> BUILDING REVIEW BY.• DATEAPPROVED: t- � - 0 6 <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_/ SITEINSPECTION <br /> Nzrmber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zo,�ing District: L2 � �� <br /> Fire Deparhnei�t: Post Office: School�istrict: <br /> Lot,9rea: Sgft. Acres G�rdth Depth <br /> Su�vev Sc�b�r:itted: 1'es No Dafe of Sa�r•vey: <br /> Proposed Set6acks: <br /> Fr•ont(Lake): Rrght Side: <br /> Rear(Str�eet): Left Side: <br /> Adjacent Structures: Id'etland: <br /> O � Ba�ilcfing Height: Def Hgt. Peak Kgt. <br /> � <br /> Lot Coverage: <br /> `� Gruding: StaJf'Approval Date: l3y: Council.4pproval Date: <br /> Septic: Stnfftlpproval Date: By: <br /> 7_onir�g File: # Reso/utiojr: # Resoltrtion Dnte: <br /> S/7orelar�d Distr•ict A�ICII�D Pernrit: <br /> .=1vg. Setback: l31�ff Setbac%: Lot Coverage: _ <br /> Existr��g Proposed <br /> Hardcover: 0-7.5' <br /> ?.i-Z.i 0' <br /> asn-sno� <br /> soo-�oon� <br /> Hurdcove�� {�"ariance Requrred: }es ��%o Date ofCouncil tlpp��oval: <br /> REMARKS(ist liocrse): n0 /r1 U'�2 �h h�l�c�•� hec�s � {'j1 �� <br /> !� wiv�c(aw c,c..�.f� <br /> 33 <br />