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CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> _ FOR OFFICE 'USE �NLY <br /> ADDRESS OR I,EGAL: .. - - " �D� -- ��L _, ^_+ :-PID. _� - - __... _ _ ....__.......... _ ._ - <br /> �� � _ <br /> DESCRIPTION OF WORR: r�I� . <br /> --------------- ----�---------------------------------------------- --- __--- <br /> . . . DATE `APPROVED: " .�I_-"'�''"''f� � �� <br /> _ _ . _.. <br /> ZONING REVIEW BY: � . _,_ _. _.... ._ • - <br /> _. . _ _< _ . <br /> _ __ .` . . . __ . <br /> _._. v. <br /> BIIILDING REVIEW BY: N �/'� DATE APPROVED: <br /> -------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: � Misc. Fees Ca�culated By: <br /> PERMIT Yes <br /> � No C�A�t'a'N�/r r�l,.�ry �t2w.1�r <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SIIRCHARGE 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 LIS /1 Zo n D' trict: �_ <br /> / <br /> �'ire Department. P st Of f ' ce:J c i ct: <br /> Lot Area: Wid epth: <br /> �urvey Submitted: Yes� No Date of Survey: <br /> � cri Fi l� <br /> Proposed Setbacks: � , <br /> Front (Lake) : � -f- Right Side: (v �"' t= <br /> Rear (Street) : D � � Lef t Side: //" /�' � <br /> Adjacent Structuresf� V�etland: <br /> I �� � ,� � � <br /> Buil�ding Height: Def. I�g't. , Peak�igt. <br /> l � � � <br /> Avg. Setback: � �� � � Lot Cover��ge: <br /> Ex��sti�ng �� Propose'd � ; <br /> / <br /> ; <br /> Hardcover: 0-75 ' ; __��- , <br /> ,' <br /> 75-250 ' / � � <br /> i � <br /> , � <br /> 250-500 ' � <br /> �' <br /> , <br /> 500-1000 ' �� � � <br /> Hardcover Varianc� Required. Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: y-22-5Y By: Counci� Approva� Date: <br /> Septic: Staff Approval/�Date: / By: <br /> Zoning FiJ.e:� i ` F�esolu on : Resolution Date: <br /> ,, <br /> REMARRS (in house) : � <br />