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CHECR OFF LIST FOR ISSIIANCE OF Pffi2MITS <br /> FOR OFFICE USE ONLY <br /> n <br /> �iDDRESS OR LEGAL: 3 LI`�i � �(1�.�s �-y�L_ �-4 V� PID: <br /> DESCRIPTI ON OF WORR: AO!� ��:J c-r�� �-<<-�r"� 7� �--' t/�'�S �'-"v"--� <br /> ----------- --------------------------------� <br /> ------------- ------------------ <br /> ZONING REVIEW BY: � �� DATE APPROVED: <br /> BIIILDING REVIEW BY: �•,� ;��G���___ DATE APPROVED: l l-3�' ' S� <br /> -------------------�-------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> YEi4i1m 5.'2S '� NO <br /> PLAN REVIEW Yes_� Nv SE�AER 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 CHECR ZIST Zoning District: <br /> Fire Department: Post Off�ice: Sch,qol District: <br /> ; , <br /> Lot Area: Width: Depth: <br /> Survey Submiltted: Yes ' No Date of Survey: <br /> Proposed Set��acks : <br /> Front (Lake) : Right Side: <br /> Rear ( Street ) : Left Side: <br /> Adjacent Structures : Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> } <br /> 500-1000 ' s ' <br /> � <br /> 3cover Variance Required: Yes No Date of Council Approval: � <br /> C <br /> ing: Staff Approval Date: By: Council Approval Date: � <br /> 3 <br /> I � <br /> '.c: Staff Approval Date: By: f <br /> t <br /> �� � File: # Resolution #: Resolution Date: � <br /> i � <br /> 1 �S (in house) : � <br /> , � <br /> �' � <br /> ' <br />