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� CHECR OFF LIST FOR ISS�ANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��'JD a�'K U � /�-V�= PID� <br /> DESCRIPTION OF WORR: ��� /T7D� - <br /> -------------------- - -- <br /> -------------------------_-- <br /> ZONING REVIEW BY: DATE APPROVED � '2.G "�7 � <br /> BIIILDING REVIEW BY� DATE APPROVED: c�j'ZG'�1 y <br /> ---------------------- - <br /> FEES TO BE CHARGED- Misc. Fees Calculated By: <br /> PERMIT Yes ✓ Na <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 !�� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------ <br /> ------------------------------------------------------ <br /> ZONING CHECR LIST Zoning District: � -�� <br /> Fire Department: Post fic : 001� istrict: <br /> .�' <br /> Lot Area : Width. <br /> ,.— <br /> Survey Submitted: Yes � No Date of Survey: �'S" Z3 �� <br /> Proposed Setbacks : � <br /> Front (Lake) : Z�y��� Right Side: 33�8 l� <br /> Rear (Street) : �0� -� Left Side: /U�q � <br /> Adjacent Structures: (Os�`�' Wetland: /v/� <br /> Buil.ding Height: Def . Hgt. O./�- Peak Hgt. C�, l� <br /> Avg. Setback: /V �/� Lot Coverage: S. ���" <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> soo-l000 � rv•�Y lo <br /> Hardcover Variance Required: Yes No ✓ Date of Council ApprovaZ : <br /> Grading: Staff Approval Date: Council Approval Date : <br /> Septic: Staff Approval Date• y: <br /> Zoning File: # es 1 tion Resolution Date: <br /> REMI�RRS (in house) : <br />