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CHECK OFF LIST FOR ISSU.q.NCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _�� �"�ys� Cou,��r /��l <br /> PID: <br /> DESCRIPTIONOF id'ORIi: �,/-1.5�5�'''�� /j,c n-L.> :�LZ <br /> ZONING REVIEK'B�:• o� DATEAPPROVED: `^� � <br /> B UILDING RE i�IEW BY.• �4....�— DATEAPPROVED: �z- i E���U <br /> FEES TO BE CKgRGED: Misc. Fees Calculated Bv: � Mr � � � � <br /> PERMIT Pes ✓� No <br /> PLAN REVIEur Yes v�� No SEN�ER CONNECTION <br /> STATE SURCKARGE Yes � No u�ATER CONIVECTION <br /> INVESTIG_ATIOIV FEE �'es No ./' PARK FEE <br /> SAC �"es No ✓ SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ____---____----------------------------- <br /> ZONING CHECK LIST Zoning District: G' �f fjr},� <br /> Fire Department Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Y6�idth Depth <br /> Survey Szrbmitted. Yes No Date of Su�vey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Si e: <br /> Rear(Street): Left Sid . <br /> � Adjacen[Structures: Wedand: <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: <br /> N� �i�jQ l�� �/�{d <br /> Gradi�zg: StaffApproval Date: .,.�Jr �re��.u::n�� B}% Counci!Approva!Date: <br /> Septic: SraffApp�-oval Date: By: <br /> Zoning File: # Resolution: fr Resolutior�Date: <br /> Shor•eland District: AICL�D Pe�•mit: <br /> Avg. Setback: BluffS tback: LotCoverage: <br /> Fa istin Proposed <br /> Har•dcover- 0-�.i' <br /> 'S-'�D' <br /> ,so-soo� <br /> �00-1000' <br /> Hardconer 1'aria�sce Regzri�-ed: 7"es N'o Date orCotu�cil,9pproval: <br /> RE�1LqIZIiS(i�1 house): <br /> �3 <br />